Provider Demographics
NPI:1114599917
Name:ACHORD, CIARA MARIE
Entity Type:Individual
Prefix:
First Name:CIARA
Middle Name:MARIE
Last Name:ACHORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 PALMER RD APT 1
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-7171
Mailing Address - Country:US
Mailing Address - Phone:607-341-0196
Mailing Address - Fax:
Practice Address - Street 1:12105 SAINT GEORGES DR
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-4185
Practice Address - Country:US
Practice Address - Phone:301-753-2086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist