Provider Demographics
NPI:1306277157
Name:SLANEY, MAUREEN (MS/CCC/SLP)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:SLANEY
Suffix:
Gender:F
Credentials:MS/CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11839 FINDLEY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:PA
Mailing Address - Zip Code:16428-3941
Mailing Address - Country:US
Mailing Address - Phone:814-864-4081
Mailing Address - Fax:
Practice Address - Street 1:1267 S HILL RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-4831
Practice Address - Country:US
Practice Address - Phone:814-864-4081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL002443L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist