Provider Demographics
NPI:1467561407
Name:SALDUTTE, MICHELLE LYNN (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:MICHELLE
Middle Name:LYNN
Last Name:SALDUTTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 PENN AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:TURTLE CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:15145-2082
Mailing Address - Country:US
Mailing Address - Phone:412-349-0632
Mailing Address - Fax:412-349-0654
Practice Address - Street 1:519 PENN AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:TURTLE CREEK
Practice Address - State:PA
Practice Address - Zip Code:15145-2082
Practice Address - Country:US
Practice Address - Phone:412-349-0632
Practice Address - Fax:412-349-0654
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0134731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA551263OtherHIGHMARK
PA124689OtherVALUEOPTIONS
PW164282OtherMAGELLAN
PA322753OtherTRICARE/CHAMPUS
PA124689OtherVALUEOPTIONS
PA006345EXYMedicare ID - Type Unspecified