Landings Family & Psychological Center, Inc. | |
32730 Walker Rd Suite I-5 Avon Lake OH 44012-4100 | |
(440) 933-8770 | |
(440) 933-8991 |
Full Name | Landings Family & Psychological Center, Inc. |
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Speciality | Psychologist |
Location | 32730 Walker Rd, Avon Lake, Ohio |
Authorized Official Name and Position | Ronald J Mistur (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 4409338770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Landings Family & Psychological Center, Inc. 32730 Walker Rd Suite I-5 Avon Lake OH 44012-4100 Ph: (440) 933-8770 | Landings Family & Psychological Center, Inc. 32730 Walker Rd Suite I-5 Avon Lake OH 44012-4100 Ph: (440) 933-8770 |
NPI Number | 1790952000 |
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Provider Enumeration Date | 05/15/2008 |
Last Update Date | 10/30/2012 |
Medicare PECOS PAC ID | 1052447034 |
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Medicare Enrollment ID | O20100329001064 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790952000 | NPI | - | NPPES |
Provider Name | Joan E Mistur |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013980465 PECOS PAC ID: 6901882018 Enrollment ID: I20040629000426 |
Provider Name | Ronald J Mistur |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1558335075 PECOS PAC ID: 6608902689 Enrollment ID: I20100329001049 |
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