Healthcare Provider Details

I. General information

NPI: 1366352171
Provider Name (Legal Business Name): JOAN VASKO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6902 PEARL RD STE 502
MIDDLEBURG HEIGHTS OH
44130-3621
US

IV. Provider business mailing address

20231 N GREYSTONE DR
STRONGSVILLE OH
44149-1065
US

V. Phone/Fax

Practice location:
  • Phone: 440-842-6867
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: