Provider Demographics
NPI:1043581226
Name:LESLIE A. SLAGEL
Entity Type:Organization
Organization Name:LESLIE A. SLAGEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SLAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:412-977-3823
Mailing Address - Street 1:103 BRILLIANT AVE
Mailing Address - Street 2:
Mailing Address - City:ASPINWALL
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3119
Mailing Address - Country:US
Mailing Address - Phone:412-977-3823
Mailing Address - Fax:412-781-6451
Practice Address - Street 1:103 BRILLIANT AVE
Practice Address - Street 2:
Practice Address - City:ASPINWALL
Practice Address - State:PA
Practice Address - Zip Code:15215-3119
Practice Address - Country:US
Practice Address - Phone:412-977-3823
Practice Address - Fax:412-781-6451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004724305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service