MEDICARE: OLIVIA ACREE ED.S.

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
1	103TS0200X	School Psychologist	0803000254	VA

General Provider Information

NPI Number	:	1013378009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA ACREE ED.S.

Provider Business Mailing Address
First Line	:	8605 SELDONDALE LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-7241
Country	:	US
Telephone Number	:	804-402-8426
Fax Number	:

Provider Business Practice Location Address
First Line	:	8719 FOREST HILL AVE
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-2431
Country	:	US
Telephone Number	:	804-402-8426
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2016
Last Update Date	:	03/17/2016

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Directions to “ OLIVIA ACREE ED.S.” Practice Location

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