Provider Demographics
NPI:1003918533
Name:SLEBER ASSOCIATES P.C.
Entity Type:Organization
Organization Name:SLEBER ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:SLEBER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:717-238-0885
Mailing Address - Street 1:2626 N 3RD ST
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-2044
Mailing Address - Country:US
Mailing Address - Phone:717-238-0885
Mailing Address - Fax:717-236-6633
Practice Address - Street 1:2626 N 3RD ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-2044
Practice Address - Country:US
Practice Address - Phone:717-238-0885
Practice Address - Fax:717-236-6633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003205L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018722040001Medicaid