| Doctor Name: | DR. VITA MUSONIS AUKSTUOLIS |
| NPI Number: | 1033222658 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 3943 |
| Business Practice Address: | 23250 Chagrin Blvd Commerce Park Five Suite 425 Beachwood, OH - 44122 |
| Business Phone Number: | 2164644243 |
| Business Fax Number: | 2165958210 |
| Mailing Address: | 23250 Chagrin Blvd, Commerce Park Five Suite 425 BEACHWOOD |
| State: | OH |
| Postal Code: | 44122 |
| Phone Number: | 2164644243 |
| Fax Number: | 2165958210 |
| NPI Enumeration Date: | 08/17/2006 |
| NPI Last Update Date: | 06/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3943 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |