Provider Demographics
NPI:1699145458
Name:BARBARA B. SLOGGETT, PH.D., INC.
Entity type:Organization
Organization Name:BARBARA B. SLOGGETT, PH.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SLOGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-735-2494
Mailing Address - Street 1:4211 WAIALAE AVE
Mailing Address - Street 2:SUITE 206A
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5319
Mailing Address - Country:US
Mailing Address - Phone:808-735-2494
Mailing Address - Fax:808-735-2495
Practice Address - Street 1:4211 WAIALAE AVE
Practice Address - Street 2:SUITE 206A
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5319
Practice Address - Country:US
Practice Address - Phone:808-735-2494
Practice Address - Fax:808-735-2495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI83261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center