Individual
MATTHEW G BICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1135 N WEST ST, LIMA, OH 45801-3655
(419) 996-3431
Mailing address
1135 N WEST ST, LIMA, OH 45801-3655
(419) 996-3431
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
20788003
OH
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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