Basic Information
| Provider Information | |||||||||
| NPI: | 1669699419 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SLAUGHTER | ||||||||
| FirstName: | GINNY | ||||||||
| MiddleName: | ROBIN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2506 FOREST POINT DR | ||||||||
| Address2: | #409 | ||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 760063039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8173850818 | ||||||||
| FaxNumber: | 8173850818 | ||||||||
| Practice Location | |||||||||
| Address1: | 1353 N WESTMORELAND RD | ||||||||
| Address2: | BUILDING F | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752111655 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143337052 | ||||||||
| FaxNumber: | 2143337097 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/20/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 103048 | TX | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.