Individual
DR. THOMAS LLOYD SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
808 S ELDORADO RD, SUITE 102, BLOOMINGTON, IL 61704-6071
(309) 310-4636
(309) 588-4115
Mailing address
808 S ELDORADO RD, SUITE 102, BLOOMINGTON, IL 61704-6071
(309) 310-4636
(309) 588-4115
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071008362
IL
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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