Individual
ROBERT JOHN RICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
82 UTT DRIVE, GRAFTON, WV 26354
(304) 624-6554
(304) 624-5223
Mailing address
PO BOX 160, GRAFTON, WV 26354-0160
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10026
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165937000
—
WV
Enumeration date
04/10/2008
Last updated
04/10/2008
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