Provider Demographics
NPI:1528227550
Name:ERDOS, CARYL ANN (MSCCCSLP)
Entity Type:Individual
Prefix:MRS
First Name:CARYL
Middle Name:ANN
Last Name:ERDOS
Suffix:
Gender:F
Credentials:MSCCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HANCOCK STREET
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2002
Mailing Address - Country:US
Mailing Address - Phone:781-721-2441
Mailing Address - Fax:
Practice Address - Street 1:16 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2002
Practice Address - Country:US
Practice Address - Phone:781-721-2441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA408235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist