MEDICARE: CRISTINA AICHER M.S, LPC

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	101YM0800X	Mental Health Counselor	PC 008472	PA

General Provider Information

NPI Number	:	1366803660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA AICHER M.S, LPC

Provider Business Mailing Address
First Line	:	4 EMERALD AVE
Second Line	:
City	:	HADDON TWP
State	:	NJ
Zip	:	08108-2321
Country	:	US
Telephone Number	:	215-554-0175
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 EMERALD AVE
Second Line	:
City	:	HADDON TWP
State	:	NJ
Zip	:	08108-2321
Country	:	US
Telephone Number	:	215-554-0175
Fax Number	:

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

Provider Enumeration Date	:	03/14/2016
Last Update Date	:	03/14/2016

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