Provider Demographics
NPI:1043647746
Name:CHRISTOFER, RICHELLE ALYN (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RICHELLE
Middle Name:ALYN
Last Name:CHRISTOFER
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 E FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-2173
Mailing Address - Country:US
Mailing Address - Phone:724-971-3659
Mailing Address - Fax:
Practice Address - Street 1:307 E FAIRFIELD AVE
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-2173
Practice Address - Country:US
Practice Address - Phone:724-971-3659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist