Matthew A Ricca, TSLP
Speech-Language Pathologist, in Tucson, AZ. Individual provider (NPI-1).
NPI number1457769887
StatusActive
Last updated in NPPESJul 29, 2014
Details
- NPI
- 1457769887
- Entity type
- Individual (NPI-1)
- Name
- Matthew A Ricca
- Credential
- TSLP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2014
- Last updated
- Jul 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | TSLP8922 | AZ | Yes |
Practice location
5200 E Farness DrSuite 100
Tucson, AZ 85712-2140
Phone 520-232-2021 · Fax 520-232-2553
Mailing address
1830 E Broadway BlvdSuite Suite 124-143
Tucson, AZ 85719-5966
Phone 520-232-2021 · Fax 520-223-2553
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