Provider Demographics
NPI:1902158942
Name:OHLMACHER, CHARMAINE MARIE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHARMAINE
Middle Name:MARIE
Last Name:OHLMACHER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:CHARMAINE
Other - Middle Name:MARIE
Other - Last Name:LEYENAAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:1750 E FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-1534
Mailing Address - Country:US
Mailing Address - Phone:443-923-4575
Mailing Address - Fax:
Practice Address - Street 1:1750 E FAIRMOUNT AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-1534
Practice Address - Country:US
Practice Address - Phone:443-923-4575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-14
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist