Individual
NICHOLAS JAMES MARCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., ED.S.
Contact information
Practice address
1402 S MAIN ST, MISHAWAKA, IN 46544-5297
(574) 254-4527
Mailing address
1402 S MAIN ST, MISHAWAKA, IN 46544-5297
(574) 254-4527
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10169660
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10169660
STATE OF INDIANA
IN
Enumeration date
08/29/2024
Last updated
08/29/2024
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