Whalio Doctors

NPI 1003335654

Pornphun Slayden

Practitioner Marriage & Family Therapist Winooski, VT

Practice location

Address
20 Winooski Falls Way STE 400, Winooski, VT 05404-2239
Phone
(802) 857-0400
Mailing address
15305 Rayen St, North Hills, CA 91343-5117

Registered specialties (2)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 12789279-3902 (UT)
Marriage & Family Therapist
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 123258 (CA)

Registry record

NPI
1003335654
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Sep 2017
Record last updated
7 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.