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Organization

TIARA A SLAUGHTER, PHD, PC

Active
Other names
Tiara A. Roberts, PhD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIARA ARLINA ROBERTS PHD (PSYCHOLOGIST PRESIDENT)
(817) 456-6997
Entity
Organization

Contact information

Practice address
275 MILLWAY, BARNSTABLE, MA 02630-1102
(508) 362-1955
Mailing address
275 MILLWAY, PO BOX 282, BARNSTABLE, MA 02630-1102
(508) 362-1955
(508) 296-9516

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
22537
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00D05R
MEDICARE 00D05R
TX
05
032590401
TX
Enumeration date
03/31/2012
Last updated
05/25/2012
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