Organization
CLINICAL NEUROPSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW P ZICCARDI PSYD (OWNER)
(419) 222-5672
Entity
Organization
Contact information
Practice address
1045 MACKENZIE DR, LIMA, OH 45805-1660
(419) 222-5672
(419) 222-6786
Mailing address
1045 MACKENZIE DR, LIMA, OH 45805-1660
(419) 222-5672
(419) 222-6786
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
03/02/2007
Last updated
04/15/2013
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