Organization
DR. VICTORIA M. VALDESUSO, PC
Active
Other names
Victoria M. Valdesuso, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA M. VALDESUSO PSYD, APRN,PMHNP-BC (PSYCHIATRIC APRN)
(406) 404-5451
Entity
Organization
Contact information
Practice address
300 N WILLSON AVE STE 602F-1, BOZEMAN, MT 59715-3551
(406) 404-5451
Mailing address
2412 PAR CT APT D, BOZEMAN, MT 59715-1514
(406) 404-5451
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154550473
NPI CORPORATE NUMBER
FL
Enumeration date
12/27/2018
Last updated
12/27/2018
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