Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL BYRON SLACK, PH.D
Active Sole ProprietorDR. MICHAEL BYRON SLACK, PH.D is a Clinical Social Worker healthcare provider located in TRAVIS AFB, California. NPI 1104939222 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · TRAVIS AFB, CA
Registration Details
- NPI Number
- 1104939222
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2006 (19.956485661685 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LSCSW1952 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 BODIN CIRDAVID GRANT MEDICAL CENTERTRAVIS AFB, CA, 945351809Browse CA providers · Browse ZIP 94535
- Phone
- 7074233811
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in TRAVIS AFB, CA
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT NEIL WILLIAMS | LCSW | 1386638658 |
| WILLIAM ANTHONY KIEFFER | PH.D | 1619964285 |
| EDWIN D. CROUSE | — | 1376531491 |
| MR. JOHN EDWARD SIMONS | LCSW | 1013991298 |
| MS. KEITH SCHADE BARONSKY | LCSW | 1679689178 |
| BRIAN A FORTIER | LCSW | 1740377167 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.