MEDICARE: KARYN ACRICHE

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	235Z00000X	Speech-Language Pathologist	06072	MD

General Provider Information

NPI Number	:	1578989067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARYN ACRICHE

Provider Business Mailing Address
First Line	:	138 INDUSTRY LN STE 5A
Second Line	:
City	:	FOREST HILL
State	:	MD
Zip	:	21050-1741
Country	:	US
Telephone Number	:	443-752-1617
Fax Number	:

Provider Business Practice Location Address
First Line	:	138 INDUSTRY LN STE 5A
Second Line	:
City	:	FOREST HILL
State	:	MD
Zip	:	21050-1741
Country	:	US
Telephone Number	:	443-752-1617
Fax Number	:

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

Provider Enumeration Date	:	03/09/2014
Last Update Date	:	03/09/2014

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Directions to “ KARYN ACRICHE ” Practice Location

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