Basic Information
Provider Information
NPI: 1528034725
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SLIER
FirstName: DAVID
MiddleName: ALLAN
NamePrefix: DR.
NameSuffix:  
Credential: PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 34800 BOB WILSON DR
Address2: NMCSD, ATTN: MEDICAL STAFF SERVICES
City: SAN DIEGO
State: CA
PostalCode: 921341098
CountryCode: US
TelephoneNumber: 6195326460
FaxNumber: 6195326299
Practice Location
Address1: 4700 SPRING ST
Address2: STE 306
City: LA MESA
State: CA
PostalCode: 919422294
CountryCode: US
TelephoneNumber: 6195326460
FaxNumber: 6195326299
Other Information
ProviderEnumerationDate: 02/27/2006
LastUpdateDate: 05/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700XPSY 9927CAY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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