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NPI 1003335654

IndividualActive

Pornphun Slayden

NPI 1003335654 · Marriage & Family Therapist · Winooski, VT

Provider details

NPI number: 1003335654
Entity type: Individual
Primary specialty: Marriage & Family TherapistBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No
License: 123258 (CA)

Practice location

20 Winooski Falls Way Ste 400

Winooski, VT 05404-2239

Phone: (802) 857-0400

More VT providers

Mailing address

15305 Rayen St

North Hills, CA 91343-5117

Registry dates

Enumerated: 2017-09-14
Last updated: 2022-09-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Pornphun Slayden — NPI 1003335654, Winooski, VT | NPI Central