| Clinical Neuropsychological Services, Inc. | |
|
1045 Mackenzie Dr Lima OH 45805-1660 | |
| (419) 222-5672 | |
| (419) 222-6786 |
| Full Name | Clinical Neuropsychological Services, Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1045 Mackenzie Dr, Lima, Ohio |
| Authorized Official Name and Position | Matthew P Ziccardi (OWNER) |
| Authorized Official Contact | 4192225672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Neuropsychological Services, Inc. 1045 Mackenzie Dr Lima OH 45805-1660 Ph: (419) 222-5672 | Clinical Neuropsychological Services, Inc. 1045 Mackenzie Dr Lima OH 45805-1660 Ph: (419) 222-5672 |
| NPI Number | 1043348600 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 04/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043348600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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