Dr. Amanda Jean Slater, PsyD
Psychologist, Clinical in Palos Heights, IL. Individual provider (NPI-1).
NPI number1366090201
StatusActive
Last updated in NPPESOct 11, 2024
Details
- NPI
- 1366090201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amanda Jean Slater
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2019
- Certification date
- Oct 11, 2024
- Last updated
- Oct 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071010729 | IL | Yes |
| 101Y00000X | Counselor | 071010729 | IL |
Practice location
11800 S 75th Ave Ste 300Palos Heights, IL 60463-1064
Phone 708-671-8440
Mailing address
11800 S 75th Ave Ste 300Palos Heights, IL 60463-1064
Phone 708-671-8440
Other practice locations
1 Medical Center Dr
Galena, IL 61036-8118
Galena, IL 61036-8118
Phone 815-776-7381
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