Individual
MR. PAUL LOUIS HISZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
890 W 4TH ST, ONTARIO, OH 44906-2565
(419) 774-5520
Mailing address
890 W 4TH ST, ONTARIO, OH 44906-2565
(419) 774-5520
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
16246477
OH
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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