| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 10/30/2012 |
| Medicare PECOS PAC ID | 1052447034 |
|---|---|
| Medicare Enrollment ID | O20100329001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790952000 | NPI | - | NPPES |
| Provider Name | Joan E Mistur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013980465 PECOS PAC ID: 6901882018 Enrollment ID: I20040629000426 |
| Provider Name | Ronald J Mistur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558335075 PECOS PAC ID: 6608902689 Enrollment ID: I20100329001049 |
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