Basic Information
| Provider Information | |||||||||
| NPI: | 1912191560 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SLUBICKI | ||||||||
| FirstName: | MONICA | ||||||||
| MiddleName: | NORA | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 VEAZEY RD | ||||||||
| Address2: | |||||||||
| City: | BUTNER | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275091668 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9197647250 | ||||||||
| FaxNumber: | 9197647230 | ||||||||
| Practice Location | |||||||||
| Address1: | 318 TURNERSBURG HWY | ||||||||
| Address2: | |||||||||
| City: | STATESVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286252798 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199852526 | ||||||||
| FaxNumber: | 9198525267 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2007 | ||||||||
| LastUpdateDate: | 10/30/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 2010-01416 | NC | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.