Provider Demographics
NPI:1619196086
Name:ELLEN A. SLAWSBY ASSOCIATES INC
Entity type:Organization
Organization Name:ELLEN A. SLAWSBY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:ALLISON
Authorized Official - Last Name:SLAWSBY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-630-1918
Mailing Address - Street 1:1280 CENTRE ST
Mailing Address - Street 2:SUITE 225
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1553
Mailing Address - Country:US
Mailing Address - Phone:617-630-1918
Mailing Address - Fax:617-507-5689
Practice Address - Street 1:1280 CENTRE ST
Practice Address - Street 2:SUITE 225
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-1553
Practice Address - Country:US
Practice Address - Phone:617-630-1918
Practice Address - Fax:617-507-5689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7159103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty