Dr. David Lewis Slack
Health Service Clinical Psychologist Adult Development & Aging Psychologist
10,000 Bay Pines Blvd.
Bay Pines
, Florida 33744
Dr. David Lewis Slack
Health Service Clinical Psychologist Adult Development & Aging Psychologist
10,000 Bay Pines Blvd.
Bay Pines
, Florida 33744
(727) 393-0248
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About
Features
Specialties
- Clinical Psychologist
- Adult Development & Aging Psychologist
- Health Service
Languages spoken
- English
Location
First Address
- Dr. David Lewis Slack
- 8144 128th St
- Seminole, FL
- Zip : 33776-3605
- Phone : (727) 393-0248
Second Address
- Dr. David Lewis Slack
- 10,000 Bay Pines Blvd.
- Bay Pines, FL
- Zip : 33744
- Phone : (727) 398-6661
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | PY5032 | FL |
| N | 103TC0700X | Clinical Psychologist | PY5032 | FL |
| N | 103TA0700X | Adult Development & Aging Psychologist | PY5032 | FL |
| N | 103G00000X | Clinical Psychologist | PY5032 | FL |
| N | 103TC0700X | Clinical Psychologist | PY5032 | FL |
| N | 103TH0100X | Health Service | PY5032 | FL |
National Provider Identifier
| NPI | 1558476861 |
|---|---|
| Provider Name | Dr. David Lewis Slack |
| First Address | Seminole, FL 33776-3605 |
| Second Address | Bay Pines, FL 33744 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.