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NPI Code Detail

MEDICARE: JANET J TRYCHIN AU.D., CCC-A

MEDICARE: JANET J TRYCHIN AU.D., CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistAT005805PA
2231H00000XAudiologistAU857CA

General Provider Information

NPI Number : 1205051380
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET J TRYCHIN AU.D., CCC-A
Provider Business Mailing Address
First Line : 136 EAST AVE
Second Line :
City : ERIE
State : PA
Zip : 16507-1842
Country : US
Telephone Number : 814-453-7661
Fax Number : 814-455-1132
Provider Business Practice Location Address
First Line : 136 EAST AVE
Second Line :
City : ERIE
State : PA
Zip : 16507-1842
Country : US
Telephone Number : 814-453-7661
Fax Number : 814-455-1132
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 07/08/2007

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