Individual
IVONNE ACRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
503 CUMBERLAND ST, LEBANON, PA 17042-5320
(717) 273-8514
Mailing address
1225 UPTON CT, HUMMELSTOWN, PA 17036-6825
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD050976L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16558200004
—
PA
Enumeration date
05/21/2007
Last updated
07/08/2007
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