Provider Demographics
NPI:1386900389
Name:SLOTOROFF, CYDNEY D (MT-BC)
Entity type:Individual
Prefix:
First Name:CYDNEY
Middle Name:D
Last Name:SLOTOROFF
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WATROUS AVE
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-3331
Mailing Address - Country:US
Mailing Address - Phone:203-600-8900
Mailing Address - Fax:203-878-1955
Practice Address - Street 1:4 OXFORD RD
Practice Address - Street 2:SUITE C1
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3855
Practice Address - Country:US
Practice Address - Phone:203-600-8900
Practice Address - Fax:203-878-1955
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor