Provider Demographics
NPI:1477986842
Name:GERDS, CAROLINE COLLIGAN (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:COLLIGAN
Last Name:GERDS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3329 ELSMERE RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-3441
Mailing Address - Country:US
Mailing Address - Phone:708-435-9890
Mailing Address - Fax:
Practice Address - Street 1:23825 COMMERCE PARK
Practice Address - Street 2:SUITE B
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5837
Practice Address - Country:US
Practice Address - Phone:216-292-7370
Practice Address - Fax:216-292-7042
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11018235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist