NPI | 1043348600 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW P ZICCARDI Owner 419-222-5672 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2007-03-02 |
Last Update Date | 2013-04-15 |