Ronald J Mistur is a Clinical in Avon Lake, Ohio. Ronald J Mistur practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ronald J Mistur is 1558335075. The last update date is 2007-07-08.
Ronald J Mistur's current location address is 32730 Walkers Road, Avon Lake, Ohio. You can contact this provider via phone number 4409338770 and fax number 4409338991. The mailing address for Ronald J Mistur is 32730 Walkers Road, Avon Lake, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald J Mistur |
|---|---|
| Address | 32730 Walkers Road, Avon Lake, Ohio |
| Phone Number | 4409338770 |
| Fax Number | 4409338991 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1558335075 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 32730 Walkers Road |
|---|---|
| City | Avon Lake |
| State | Ohio (OH) |
| Post Code | 44012 |
| Phone Number | 4409338770 |
| Fax Number | 4409338991 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1813 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 131040 | OH | ANTHEM | |
| 131040 | OH | MAGELLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ronald J Mistur by the Centers for Medicare & Medicaid Services?
The Ronald J Mistur has been issued the NPI (National Provider Identifier) 1558335075 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ronald J Mistur?
The Ronald J Mistur is physically situated at 32730 Walkers Road, in the city of Avon Lake, state of OH, with the postal code 44012.
What is the area of specialization for Ronald J Mistur, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ronald J Mistur is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Ronald J Mistur receive the assignment of its 1558335075 from the Centers for Medicare & Medicaid Services?
The Ronald J Mistur was issued its 1558335075 by the Centers for Medicare & Medicaid Services on 2006-02-13.
As of what date were the details pertaining to Ronald J Mistur last refreshed?
The information related to the Ronald J Mistur, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1235132838
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