Individual
AMY RICCIARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38820 HIDDEN CANYON DR, GRAFTON, OH 44044-9222
(440) 225-3635
Mailing address
38820 HIDDEN CANYON DR, GRAFTON, OH 44044-9222
(440) 225-3635
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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