DR. MICHAEL SLACK, PH.D

Social Worker - Clinical

Active Individual
NPI: 1104939222

Practice Address

101 BODIN CIR
DAVID GRANT MEDICAL CENTER
Travis Afb, CA 94535

Phone: (707) 423-3811

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LSCSW1952 (KS)

Frequently Asked Questions

NPI 1104939222 is the National Provider Identifier for DR. MICHAEL SLACK, PH.D, a Social Worker - Clinical provider located in Travis Afb, CA. This NPI was enumerated on August 15, 2006.
DR. MICHAEL SLACK, PH.D practices at 101 BODIN CIR, DAVID GRANT MEDICAL CENTER, Travis Afb, CA 94535.

Quick Facts

NPI
1104939222
Type
Individual
Enumerated
Aug 15, 2006
Last Updated
Jul 8, 2007

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