Provider Demographics
NPI:1073867909
Name:CASSELLA, ERIN L (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:L
Last Name:CASSELLA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:16 CHESTNUT ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-1472
Mailing Address - Country:US
Mailing Address - Phone:508-698-3709
Mailing Address - Fax:508-698-3785
Practice Address - Street 1:16 CHESTNUT ST
Practice Address - Street 2:SUITE 310
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-1472
Practice Address - Country:US
Practice Address - Phone:508-698-3709
Practice Address - Fax:508-698-3785
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA8589235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist