Provider Demographics
NPI:1326309816
Name:SKLEDER, ERIC FRANK (LPC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:FRANK
Last Name:SKLEDER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 BENTBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-2254
Mailing Address - Country:US
Mailing Address - Phone:412-221-7913
Mailing Address - Fax:724-432-2299
Practice Address - Street 1:230 BENTBROOK CIR
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-2254
Practice Address - Country:US
Practice Address - Phone:412-221-7913
Practice Address - Fax:724-432-2299
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002324101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional