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NPI Code Detail

MEDICARE: MR. MARK ANTHONY SLAUGHTER JR. LMFT

MEDICARE: MR. MARK ANTHONY SLAUGHTER JR. LMFT
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
1106H00000XMarriage & Family Therapist297994KY

General Provider Information

NPI Number : 1912657008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK ANTHONY SLAUGHTER JR. LMFT
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2550 EASTPOINT PKWY STE 210
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-4128
Country : US
Telephone Number : 502-975-2960
Fax Number : 502-290-1931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2022
Last Update Date : 01/07/2026

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