Active NPIIndividual provider

Pornphun Slayden

Marriage & Family Therapist in Winooski, Vermont

NPI Number1003335654
Practice location
20 Winooski Falls Way Ste 400, Winooski, VT 05404-2239
Fax
—
Last updated
September 7, 2022

Pornphun Slayden is a Marriage & Family Therapist based in Winooski, VT. Pornphun Slayden practices in Winooski, VT. The NPI Number for Pornphun Slayden is 1003335654 and holds a License No. 123258 (CA). The current practice location address for Pornphun Slayden is 20 Winooski Falls Way Ste 400, Winooski, VT 05404-2239 and can be reached out via phone at 802-857-0400.

Provider Profile Details

NPI Number
1003335654
Provider Name
Pornphun Slayden
Provider Entity Type
Individual
Gender
Female
Address
20 Winooski Falls Way Ste 400, Winooski, VT 05404-2239
Phone Number
802-857-0400
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2017
Last Update Date
September 7, 2022
Certification Date
September 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Winooski Falls Way Ste 400
Winooski, VT 05404-2239
State
Vermont
Zip
05404-2239
Phone Number
802-857-0400
Winooski, VT 05404Get directions →

Provider Business Mailing Address Details

Address
15305 Rayen St
North Hills, CA 91343-5117
City
North Hills
State
CA
Zip
91343-5117
Phone Number
818-892-3423
Fax Number
818-893-4509

License Information

License Number (1)
123258
License State (1)
CA
Taxonomy (1)
Marriage & Family Therapist · 106H00000X
License Number (2)
12789279-3902
License State (2)
UT
Taxonomy (2)
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Marriage & Family Therapists near Winooski, VT

View all Marriage & Family Therapists in Winooski →

Frequently Asked Questions

What is the NPI number of Pornphun Slayden?

The NPI number of Pornphun Slayden is 1003335654. It was assigned on September 14, 2017 and is currently active in the NPPES registry.

What is the specialty of Pornphun Slayden?

Pornphun Slayden is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CA under license number 123258.

Where does Pornphun Slayden practice?

The practice location is 20 Winooski Falls Way Ste 400, Winooski, VT 05404-2239. The office can be reached at 802-857-0400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003335654 directly on the NPPES registry website.

Browse related providers