Provider Demographics
NPI:1578853974
Name:PACE-SLOT, MEGHAN ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:ELIZABETH
Last Name:PACE-SLOT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MEGHAN
Other - Middle Name:
Other - Last Name:PACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4364 PINE TREE TRL
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302
Mailing Address - Country:US
Mailing Address - Phone:248-462-5561
Mailing Address - Fax:248-844-6237
Practice Address - Street 1:4252 STONELEIGH RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302
Practice Address - Country:US
Practice Address - Phone:248-462-5561
Practice Address - Fax:248-646-2959
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist