Provider Demographics
NPI:1710797055
Name:IMHAUSEN-SLAUGHTER, DARLA (CHES)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:
Last Name:IMHAUSEN-SLAUGHTER
Suffix:
Gender:F
Credentials:CHES
Other - Prefix:
Other - First Name:DARLA
Other - Middle Name:
Other - Last Name:SLAUGHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CHES
Mailing Address - Street 1:5401 N NEW JERSEY ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-3019
Mailing Address - Country:US
Mailing Address - Phone:513-519-7580
Mailing Address - Fax:
Practice Address - Street 1:5401 N NEW JERSEY ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-3019
Practice Address - Country:US
Practice Address - Phone:513-519-7580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN30008498A2279G1100X
15501174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN30008498AOtherINDIANA PROFESSIONAL LICENSING