MEDICARE: ERIC FRANK SKLEDER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC002324	PA

General Provider Information

NPI Number	:	1326309816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC FRANK SKLEDER LPC

Provider Business Mailing Address
First Line	:	230 BENTBROOK CIR
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-2254
Country	:	US
Telephone Number	:	412-221-7913
Fax Number	:	724-432-2299

Provider Business Practice Location Address
First Line	:	230 BENTBROOK CIR
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-2254
Country	:	US
Telephone Number	:	412-221-7913
Fax Number	:	724-432-2299

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2012
Last Update Date	:	05/31/2012

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