Individual
MRS. ALICJA MATUSIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S, CNP
Contact information
Practice address
4770 INDIANOLA AVE STE 107, COLUMBUS, OH 43214-1862
(614) 371-2303
(800) 905-9950
Mailing address
4770 INDIANOLA AVE STE 107, COLUMBUS, OH 43214-1862
(614) 371-2303
(800) 905-9950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0800345
OH
163WH0200X
Home Health Registered Nurse
359101
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.16032
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
COA.16032-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116587
—
OH
Enumeration date
05/12/2009
Last updated
04/08/2025
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