SearchCaliforniaClinical Social Worker

Michael Slack, PH.D

NPI 1104939222 · on the registry since 2006 · sole proprietor

Practice

Address
101 Bodin Cir
David Grant Medical Center
Travis Afb, CA 94535
Phone
(707) 423-3811
Organisation at this address
Dfas
60 Msgs
60th Medgrp-Travis
60th Medical Group
60th Medgrp-Travis
Inferred from a shared address, not stated in the registry.
Clinicians at this address
662

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California