CARESSA ALICE SLOCUM


Address: 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705
Phone: 7273986661

CARESSA ALICE SLOCUM (NPI# 1154935781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154935781
Entity Type Individual
Full Name CARESSA ALICE SLOCUM
Credential PH.D.
Practice Address 840 Dr M.l.k. Jr St N
St. Petersburg
FL 33705
Practice Telephone 7273986661
Mailing Telephone 7275021700
Enumeration Date 2020-09-01
Last Update Date 2020-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY10853 FL Behavioral Health & Social Service Providers

Office Location

Street Address 840 DR M.L.K. JR ST N
City ST. PETERSBURG
State FL
Zip Code 33705

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NPI Name Taxonomy Address Enumeration
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1790034635 Melissa White Kidwell Physical Therapist 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 2012-09-06
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316105976 Rebecca A Crecraft Psychologist 66 3rd Street South, Suite 205, St. Petersburg, FL 33701 2008-05-29
1992808802 Edith Taylor Dalton Psychologist 9541 Bay Pines Blvd., St. Petersburg, FL 33708-3754 2006-09-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336740224 North Florida Collaborative Therapy Psychologist 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 2020-11-05
1922607381 Michelle Mcnally Psychologist 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 2020-10-18
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1396351979 Daniela Oliveira De Medeiros Psychologist 111 Majorca Ave # B, Coral Gables, FL 33134-4508 2020-09-19
1235744327 Lisa Stewart Psychologist 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 2020-09-15
1265047047 Anissa York Psychologist 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 2020-09-09
1497365399 Julia L Sheffler Psychologist 1126b Lee Ave, Tallahassee, FL 32303-6508 2020-08-05
1801413315 Steven David Macchione Psychologist 328 Nw 97th Ave, Plantation, FL 33324-7068 2020-06-30
1578180154 Lory Jean Reyes Psychologist 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 2020-06-30
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Competitor

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City ST. PETERSBURG
Zip Code 33705

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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