Provider Demographics
NPI:1336692052
Name:DR. DEBORAH SMITH MILESKI
Entity Type:Organization
Organization Name:DR. DEBORAH SMITH MILESKI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:MILESKI
Authorized Official - Suffix:
Authorized Official - Credentials:DED
Authorized Official - Phone:570-885-7044
Mailing Address - Street 1:89 W SAINT MARYS RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18706-3224
Mailing Address - Country:US
Mailing Address - Phone:570-885-7044
Mailing Address - Fax:
Practice Address - Street 1:89 W SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:HANOVER TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18706-3224
Practice Address - Country:US
Practice Address - Phone:570-885-7044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004728L251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)