| Dr Ronald J Mistur, PHD | |
|
32730 Walkers Road, #i 5, Avon Lake, OH 44012 | |
| (440) 933-8770 | |
| (440) 933-8991 |
| Full Name | Dr Ronald J Mistur |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 32730 Walkers Road, Avon Lake, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558335075 | NPI | - | NPPES |
| 000000131040 | Other | OH | ANTHEM |
| 000000131040 | Other | OH | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1813 (Ohio) | Primary |
| Entity Name | Landings Family & Psychological Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790952000 PECOS PAC ID: 1052447034 Enrollment ID: O20100329001064 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ronald J Mistur, PHD 32730 Walkers Road, #i 5, Avon Lake, OH 44012 Ph: (440) 933-8770 | Dr Ronald J Mistur, PHD 32730 Walkers Road, #i 5, Avon Lake, OH 44012 Ph: (440) 933-8770 |
Mrs. Amy Van Dyke, M.ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 157 Vinewood Dr, Avon Lake, OH 44012 Phone: 440-925-5583 | |
Michael Shockey, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 175 Avon Belden Rd, Avon Lake, OH 44012 Phone: 440-933-6210 | |
Dr. Michelle Ogilvie Hils, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 375 Harbor Ct, Avon Lake, OH 44012 Phone: 440-930-2899 |