Provider Demographics
NPI:1437421724
Name:RICHER, CHRISTA MARIE (MS, CF-SLP, TSLD)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTA
Middle Name:MARIE
Last Name:RICHER
Suffix:
Gender:F
Credentials:MS, CF-SLP, TSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BRIGGS ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12095-1401
Mailing Address - Country:US
Mailing Address - Phone:315-404-1755
Mailing Address - Fax:
Practice Address - Street 1:21 BRIGGS ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:NY
Practice Address - Zip Code:12095-1401
Practice Address - Country:US
Practice Address - Phone:315-404-1755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist