Healthcare Provider Details

I. General information

NPI: 1972417848
Provider Name (Legal Business Name): KATHERINE SLECKMAN LCGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 UNIVERSITY BLVD
BIRMINGHAM AL
35233-1709
US

IV. Provider business mailing address

2112 MORRIS AVE APT 304
BIRMINGHAM AL
35203-4230
US

V. Phone/Fax

Practice location:
  • Phone: 205-996-4384
  • Fax:
Mailing address:
  • Phone: 314-799-9091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: