SearchNew York1041C0700X

Matthew Tice, LCSW

NPI 1841804713 · on the registry since 2020 · sole proprietor

Practice

Address
50 Wyoming Ave
Buffalo, NY 14215
Phone
(716) 892-4354

Additional practice sites

  • 1021 Broadway St, Buffalo, NY
  • 184 Barton St, Buffalo, NY

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York