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NPI Code Detail

MEDICARE: DR. CHRISTOPHER SLAUGHTER PRICKETT PHD

MEDICARE:  DR. CHRISTOPHER SLAUGHTER PRICKETT  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist39854TX
2103TC2200XClinical Child & Adolescent Psychologist2025040316MO

General Provider Information

NPI Number : 1730879263
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER SLAUGHTER PRICKETT PHD
Provider Business Mailing Address
First Line : 3533 S ALAMEDA ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78411-1721
Country : US
Telephone Number : 361-694-5000
Fax Number :
Provider Business Practice Location Address
First Line : 205 PORTLAND ST
Second Line :
City : COLUMBIA
State : MO
Zip : 65201-6521
Country : US
Telephone Number : 573-884-6052
Fax Number : 573-884-1151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2023
Last Update Date : 02/04/2026

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Directions to “ DR. CHRISTOPHER SLAUGHTER PRICKETT PHD” Practice Location

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