Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David Lewis Slack, PHD

Individual provider Clinical Neuropsychologist · NPI 1558476861

Dr. David Lewis Slack, PHD is a Clinical Neuropsychologist in Bay Pines, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

10 000 Bay Pines Blvd
Bay Pines, FL 33744
Phone: (727) 398-6661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Psychologist (primary) Taxonomy 103TH0100X · Licence PY5032 (FL)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PY5032 (FL)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence PY5032 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY5032 (FL)

Record details

NPI number1558476861
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 20, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address8144 128th St, Seminole, FL 33776-3605

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