Individual
MATTHEW FACEMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
3797 PLEASANT CHAPEL RD, NEWARK, OH 43056-9627
(740) 763-4412
Mailing address
3797 PLEASANT CHAPEL RD, NEWARK, OH 43056-9627
(740) 763-4412
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH1370398
OH
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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