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General NPI Number Information
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NPI Number | 1306093570
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Entity Type | Individual
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Provider Name | JENNIFER DIANE SLAYBAUGH SCHOOL PSYCHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 201 BOOTH ST
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City | ELKTON
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State | MD
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Zip | 21921-5618
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Country | US
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Telephone | 410-996-5401
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Fax |
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Provider Business Mailing Address
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Address Line | 319 AILSA DR
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City | RISING SUN
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State | MD
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Zip | 21911-2558
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Country | US
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Telephone | 443-553-6202
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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