Jacob Slack

NPI 1649155052 · on the registry since 2025 · sole proprietor

Practice

Address: 332 Birnie Ave
Springfield, MA 01107
Phone: (413) 732-1920
Organisation at this address: Center For Human Development
Innovative Care Partners, Llc
Innovative Care Partners, Llc
Center For Human Development, Inc
Center For Human Development, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 154

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Sex: Male
Record last updated: 2025-08-06

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 Massachusetts