Healthcare Provider Details

I. General information

NPI: 1538091590
Provider Name (Legal Business Name): ANGELA EIKENBERRY-SLUSHER PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 POE AVE STE 400
DAYTON OH
45414-2527
US

IV. Provider business mailing address

6500 POE AVE STE 400
DAYTON OH
45414-2527
US

V. Phone/Fax

Practice location:
  • Phone: 937-276-3356
  • Fax: 937-276-9514
Mailing address:
  • Phone: 937-276-3356
  • Fax: 937-276-9514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number00784
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: