Healthcare Provider Details

I. General information

NPI: 1669061362
Provider Name (Legal Business Name): THOMAS SLOSKY III M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2021
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

398 HOCHBERG RD
MONROEVILLE PA
15146-1516
US

IV. Provider business mailing address

206 DEWEY ST
PITTSBURGH PA
15218-1410
US

V. Phone/Fax

Practice location:
  • Phone: 724-396-1510
  • Fax: 724-972-4627
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number101YM0800X
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC015112
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: