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General NPI Number Information
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NPI Number | 1528571718
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Entity Type | Individual
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Provider Name | DANIELLE SLYDER LCPC, ATR
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Gender | Female
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Dates
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Enumeration Date | 11/09/2017
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 3040 FINLEY RD STE 220
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5714
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Country | US
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Telephone | 708-859-0164
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Fax | 708-859-0166
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Provider Business Mailing Address
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Address Line | 3040 FINLEY RD STE 220
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5714
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Country | US
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Telephone | 224-236-2592
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 22-201
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180.013250
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License Number State | IL
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