Organization
CHILD & ADOLESCENT PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY LEE SLAUGHTER PSY.D., LP (OWNER/PRESIDENT/SECRETARY/TREASURER)
(701) 839-0474
Entity
Organization
Contact information
Practice address
1705 4TH AVE NW, MINOT, ND 58703-2912
(701) 839-0474
(701) 839-0713
Mailing address
1705 4TH AVE NW, MINOT, ND 58703-2912
(701) 839-0474
(701) 839-0713
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
38,965,300
ND
Other
Enumeration date
07/12/2015
Last updated
01/14/2016
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