Individual
JILL A MATUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
25550 CHAGRIN BLVD, 200, BEACHWOOD, OH 44122-5638
(216) 765-0500
(216) 765-0521
Mailing address
25550 CHAGRIN BLVD, 200, BEACHWOOD, OH 44122-5638
(216) 765-0500
(216) 765-0521
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P.7004
OH
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
09/29/2011
Last updated
11/04/2024
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