Provider Demographics
NPI:1457176059
Name:SLOSKEY, MELISSA SUE
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:SUE
Last Name:SLOSKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 PINE SPRINGS CAMP RD
Mailing Address - Street 2:
Mailing Address - City:BOSWELL
Mailing Address - State:PA
Mailing Address - Zip Code:15531-2423
Mailing Address - Country:US
Mailing Address - Phone:814-421-1293
Mailing Address - Fax:
Practice Address - Street 1:270 PINE SPRINGS CAMP RD
Practice Address - Street 2:
Practice Address - City:BOSWELL
Practice Address - State:PA
Practice Address - Zip Code:15531-2423
Practice Address - Country:US
Practice Address - Phone:814-421-1293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAL-315132174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN