Provider Demographics
NPI:1154587293
Name:O'DUGGAN, ERIN MARGARET
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:MARGARET
Last Name:O'DUGGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HIGHLAND CT
Mailing Address - Street 2:
Mailing Address - City:COHASSET
Mailing Address - State:MA
Mailing Address - Zip Code:02025-1815
Mailing Address - Country:US
Mailing Address - Phone:781-383-8831
Mailing Address - Fax:
Practice Address - Street 1:10 HIGHLAND CT
Practice Address - Street 2:
Practice Address - City:COHASSET
Practice Address - State:MA
Practice Address - Zip Code:02025-1815
Practice Address - Country:US
Practice Address - Phone:781-383-8831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6204235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist