Healthcare Provider Details

I. General information

NPI: 1376448365
Provider Name (Legal Business Name): COLLIN B SLATER PLPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 COMMERCE DR STE 2
ARNOLD MO
63010-5218
US

IV. Provider business mailing address

3601 COMMERCE DR STE 2
ARNOLD MO
63010-5218
US

V. Phone/Fax

Practice location:
  • Phone: 314-420-3000
  • Fax:
Mailing address:
  • Phone: 314-420-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2026048650
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: