Provider Demographics
NPI:1255530341
Name:RICHTER, ALICE ANN (MASTER EDUCATION)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:ANN
Last Name:RICHTER
Suffix:
Gender:F
Credentials:MASTER EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-2513
Mailing Address - Country:US
Mailing Address - Phone:859-441-2771
Mailing Address - Fax:859-441-2771
Practice Address - Street 1:135 SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075-2513
Practice Address - Country:US
Practice Address - Phone:859-441-2771
Practice Address - Fax:859-441-2771
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1915OtherFIRST STEPS PROGRAM KY.