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
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.