Provider Demographics
NPI:1568231843
Name:SALITSKY, MAUREEN (MS)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:SALITSKY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18407-2043
Mailing Address - Country:US
Mailing Address - Phone:570-282-5769
Mailing Address - Fax:
Practice Address - Street 1:2591 BAGLYOS CIR STE C48
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8058
Practice Address - Country:US
Practice Address - Phone:610-628-1518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006874237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter