Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | PY 3765 | FL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY 3765 | FL |
NPI | 1093938904 |
---|---|
Provider Name | Dr. Michelle Janice Slapion-Foote |
First Address | Miami, FL 33176-1915 |
Second Address | Miami, FL 33176-2319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |