Individual
MR. DOUGLAS ROBERT SLAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1100 GREEN ST SW, CONYERS, GA 30012-5220
(404) 834-1513
(770) 783-8001
Mailing address
2042 AMBERWOOD WAY, ATLANTA, GA 30345-3904
(678) 592-1411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
000239
GA
103TC0700X
Clinical Psychologist
239
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000367837B
—
GA
Enumeration date
07/04/2006
Last updated
03/23/2016
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