# DR. KATHLEEN R TUSAIE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316055007
- **Gender:** F
- **Credential:** PHD, PMHCNS-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN 140528 | OH | — |
| 364S00000X | Clinical Nurse Specialist | NS-06906 | OH | — |
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | NS-06906 | OH | — |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | NS-06906 | OH | Yes |
| 364SP0809X | Adult Psychiatric/Mental Health Clinical Nurse Specialist | NS06906 | OH | — |
| 364SP0810X | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | NS06906 | OH | — |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 10/27/2008