Caressa Alice Slocum, Ph.D.
Psychologist, Clinical in St. Petersburg, FL. Individual provider (NPI-1).
NPI number1154935781
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1154935781
- Entity type
- Individual (NPI-1)
- Name
- Caressa Alice Slocum
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2020
- Certification date
- Aug 28, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY10853 | FL | Yes |
Practice location
840 Dr M.L.K. Jr St NSt. Petersburg, FL 33705
Phone 727-398-6661
Mailing address
840 Dr M.L.K. Jr St NSt. Petersburg, FL 33705
Phone 727-502-1700
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