Individual
MELODY L VAITKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
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
6301014492
MI
103T00000X
Psychologist
Primary
6501
OH
Other
Enumeration date
04/16/2007
Last updated
12/15/2016
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