Provider Demographics
NPI:1932973823
Name:SLOTWINER, SHIRLEY (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:
Last Name:SLOTWINER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 MYRTLE OAK TER
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-1341
Mailing Address - Country:US
Mailing Address - Phone:305-338-9884
Mailing Address - Fax:
Practice Address - Street 1:1495 MYRTLE OAK TER
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-1341
Practice Address - Country:US
Practice Address - Phone:305-338-9884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-10
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1145103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical