Individual
MATT COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
2317 CASS RD, TOLEDO, OH 43614-3111
(419) 381-2391
(419) 381-2388
Mailing address
2317 CASS RD, TOLEDO, OH 43614-3111
(419) 381-2391
(419) 381-2388
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3077263
OH
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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