Provider Demographics
NPI:1962751107
Name:SLASKI, KRISTIE
Entity type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:
Last Name:SLASKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 NORTH AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2314
Mailing Address - Country:US
Mailing Address - Phone:410-420-7292
Mailing Address - Fax:410-420-7276
Practice Address - Street 1:4 NORTH AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2314
Practice Address - Country:US
Practice Address - Phone:410-420-7292
Practice Address - Fax:410-420-7276
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor