Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW J TEKAUCIC
Active Sole ProprietorMATTHEW J TEKAUCIC is a Emotionally Disturbed Children Residential Treatment healthcare provider located in WADSWORTH, Ohio. NPI 1356945893 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · WADSWORTH, OH
Registration Details
- NPI Number
- 1356945893
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2020 (5.764654025073 yrs)
- Last Updated
- Nov 25, 2020
- License
-
5213901 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
286 BAIRD AVEWADSWORTH, OH, 442812220Browse OH providers · Browse ZIP 44281
- Phone
- 3304412311
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Other Emotionally Disturbed Children Residential Treatment Providers in WADSWORTH, OH
| Name | Credential | NPI |
|---|---|---|
| SUSAN DAWSON | DOO | 1194432666 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.