Individual
DR. VITA MUSONIS AUKSTUOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
23250 CHAGRIN BLVD, COMMERCE PARK FIVE SUITE 425, BEACHWOOD, OH 44122
(216) 464-4243
(216) 595-8210
Mailing address
23250 CHAGRIN BLVD, COMMERCE PARK FIVE SUITE 425, BEACHWOOD, OH 44122
(216) 464-4243
(216) 595-8210
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3943
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11547238
CAQH
—
Enumeration date
08/17/2006
Last updated
06/18/2010
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