Ziccardi, Matthew Paul
Ziccardi, Matthew Paul is an individual health care provider with primary practice located at 2200 Randallia Dr , Fort Wayne IN 46805. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Ziccardi, Matthew Paul can be contacted via phone (260) 373-4538.Contact Information
Primary practice address
2200 Randallia Dr
Fort Wayne IN 46805
Phone: (260) 373-4538
Fax: (260) 373-9225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 5281 | Ohio |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 20043298A | Indiana |
Profile Details
| NPI number | 1972508471 |
|---|---|
| LBN Legal business name | Ziccardi, Matthew Paul |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Oct 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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