Healthcare Provider Details

I. General information

NPI: 1982513404
Provider Name (Legal Business Name): VANESSA SLOTTERBACK MA, ATR, LAPC,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ENTERPRISE ST STE 104
ELIZABETH PA
15037-2070
US

IV. Provider business mailing address

13153 OSPREY LN APT 102
OMAHA NE
68138-4088
US

V. Phone/Fax

Practice location:
  • Phone: 412-754-1100
  • Fax:
Mailing address:
  • Phone: 412-754-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC002805
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: