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Individual

MATTHEW A RICCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
TSLP

Contact information

Practice address
5200 E FARNESS DR, SUITE 100, TUCSON, AZ 85712-2140
(520) 232-2021
(520) 232-2553
Mailing address
1830 E BROADWAY BLVD, SUITE SUITE 124-143, TUCSON, AZ 85719-5966
(520) 232-2021
(520) 223-2553

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP8922
AZ

Other

Enumeration date
07/29/2014
Last updated
07/29/2014
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