Organization
VAITKUS PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY L VAITKUS PH.D. (OWNER)
(419) 270-2490
Entity
Organization
Contact information
Practice address
615 KINGSBURY ST, MAUMEE, OH 43537-1865
(419) 270-2490
Mailing address
615 KINGSBURY ST, MAUMEE, OH 43537-1865
(419) 270-2490
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6501
OH
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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