Organization
DR. VICTORIA M. VALDESUSO, PC
Active
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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