Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | P600135227618 | MI |
NPI | 1003252578 |
---|---|
Provider Name | Mrs. Dawn Elyce Sluka |
First Address | Shelby Twp, MI 48317-4913 |
Second Address | Shelby Twp, MI 48317-4913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2013 |
Last Update Date | 17/03/2014 |