Individual
DR. ELIZABETH TRACE SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
25 CONCORD RD, WAYLAND, MA 01778-1914
(508) 358-7555
(508) 358-6685
Mailing address
25 CONCORD RD, WAYLAND, MA 01778-1914
(508) 358-7555
(508) 358-6685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY6736
MA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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