person
Tisa A Ayuso, DO
Child & Adolescent Psychiatry Physician in Duluth, Minnesota
NPI 1851629448

Tisa A Ayuso is a Child & Adolescent Psychiatry Physician based in Greenwich, MN and is specialized in Child & Adolescent Psychiatry. Tisa A Ayuso practices in Duluth, MN and has the professional credentials of DO. The NPI Number for Tisa A Ayuso is 1851629448 and holds a License No. 048692 (Minnesota).

The current practice location address for Tisa A Ayuso is 502 E 2Nd St, Duluth, MN and can be reached out via phone at 218-786-8376.

Location: 502 E 2Nd St, Duluth, MN, 06830-4697
person
Provider Profile Details
NPI Number
1851629448
Provider Name
Tisa A Ayuso
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
502 E 2Nd St, Duluth, MN, 06830-4697
Phone Number
218-786-8376
Fax Number
Provider Enumeration Date
11/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008001325 05 CT
008022626 05 CT
008039241 05 CT
004041000 05 CT
008022622 05 CT
008003745 05 CT
004082260 05 CT
008039745 05 CT
institution
Provider Business Practice Location Address Details
Address
502 E 2Nd St
City
State
Zip
55805-1913
Phone Number
218-786-8376
Fax Number
person
Provider Business Mailing Address Details
Address
502 E 2Nd St
City
State
Zip
55805-1913
Phone Number
218-786-8376
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
048692 (Connecticut)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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