Provider Demographics
NPI:1336447796
Name:MCCARTHY, ERIN CHRISTINE (MA CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CHRISTINE
Last Name:MCCARTHY
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 1:28700 EUCLID AVE
Mailing Address - Street 2:120
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-2527
Mailing Address - Country:US
Mailing Address - Phone:216-965-6106
Mailing Address - Fax:440-943-7803
Practice Address - Street 1:28700 EUCLID AVE
Practice Address - Street 2:120
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-2527
Practice Address - Country:US
Practice Address - Phone:216-965-6106
Practice Address - Fax:440-943-7803
Is Sole Proprietor?:No
Enumeration Date:2011-03-09
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH9741235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist