Provider Demographics
NPI:1811137573
Name:SLAIKEU, LINDA (MA MFT)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:SLAIKEU
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2484 285TH AVE
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:WI
Mailing Address - Zip Code:54006-3213
Mailing Address - Country:US
Mailing Address - Phone:715-928-0725
Mailing Address - Fax:
Practice Address - Street 1:2484 285TH AVE
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:WI
Practice Address - Zip Code:54006-3213
Practice Address - Country:US
Practice Address - Phone:715-928-0725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI825124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist