SUELLYN VANDERSLICE, PHD
Social Work at Christel Ave, Panama City, FL

License number
Florida PY 4182
Category
Social Work
Type
Clinical
Address
Address
1202 Christel Ave, Panama City, FL 32401
Phone
(850) 785-5325
(904) 212-0170 (Fax)
National Provider ID: 1003971722
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SUELLYN VANDERSLICE at bizstanding.com

SUELLYN VANDERSLICE, PH.D., PA

Panama City, FL

Status:
Inactive
Inactive reason:
Voluntary Dissolution
Registration:
Dec 29, 1993
Inactive since:
Mar 24, 2013
Addresses:
1202 Christel Ave, Panama City, FL 32401 (Physical)
467 Grace Ave, Panama City, FL 32401
State ID:
P94000001521
Business type:
Florida Profit Corporation
Chairman, President:
Suellyn Vanderslice Chairman, President, inactive, 467 Grace Ave, Panama City, FL (Physical)
Agent:
Vanderslice, Suellyn,467 Grace Ave, Panama City, FL 32401 (Physical)
EIN:
59-3294700

Professional information

Suellyn Vanderslice Photo 1

Dr. Suellyn Vanderslice, Panama City FL - PHD
Specialties:
Clinical Psychology
Address:
1202 Christel Ave, Panama City 32401
(850) 785-5325 (Phone), (904) 212-0170 (Fax)
Languages:
English

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