Organization
TIARA A SLAUGHTER, PHD, PC
Active
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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