Individual
MR. RYAN MARK TOMKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., ED.S.
Contact information
Practice address
1001 OHIO ST, LA PORTE, IN 46350-4301
(219) 362-2080
(219) 362-8102
Mailing address
901 INSTITUTE ST, VALPARAISO, IN 46383-5035
(219) 242-1753
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1566460
IN
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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