| Vaitkus Psychological Services Llc | |
|
615 Kingsbury St Maumee OH 43537-1865 | |
| (419) 270-2490 | |
| Not Available |
| Full Name | Vaitkus Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 615 Kingsbury St, Maumee, Ohio |
| Authorized Official Name and Position | Melody L Vaitkus (OWNER) |
| Authorized Official Contact | 4192702490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vaitkus Psychological Services Llc 615 Kingsbury St Maumee OH 43537-1865 Ph: (419) 270-2490 | Vaitkus Psychological Services Llc 615 Kingsbury St Maumee OH 43537-1865 Ph: (419) 270-2490 |
| NPI Number | 1053853507 |
|---|---|
| Provider Enumeration Date | 11/15/2016 |
| Last Update Date | 11/15/2016 |
| Medicare PECOS PAC ID | 9739451253 |
|---|---|
| Medicare Enrollment ID | O20170817004223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053853507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6501 (Ohio) | Primary |
| Provider Name | Melody Lynn Vaitkus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972728939 PECOS PAC ID: 5294922969 Enrollment ID: I20170817004259 |
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