| Doctor Name: | TODD A SLEZAK |
| NPI Number: | 1154364990 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | SP008382 |
| Business Practice Address: | 1 Mellon Way Latrobe, PA - 156501197 |
| Business Phone Number: | 7245371650 |
| Business Fax Number: | 7245326047 |
| Mailing Address: | 1 Mellon Way, LATROBE |
| State: | PA |
| Postal Code: | 156501197 |
| Phone Number: | 7245371650 |
| Fax Number: | 7245326047 |
| NPI Enumeration Date: | 06/13/2006 |
| NPI Last Update Date: | 07/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | SP008382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |