Individual
JAMIE MATKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, NCSP
Contact information
Practice address
55781 NATIONAL RD, BRIDGEPORT, OH 43912-1517
(740) 635-0835
Mailing address
55781 NATIONAL RD, BRIDGEPORT, OH 43912-1517
(740) 635-0835
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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