Provider Demographics
NPI:1700070349
Name:OLIVEIRA, CAROLINE WELSH (MS, SLP)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:WELSH
Last Name:OLIVEIRA
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:MS
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:WELSH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:51 TUDOR ST
Mailing Address - Street 2:FLOOR 1
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01902-4620
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:103 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:LYNN
Practice Address - State:MA
Practice Address - Zip Code:01902-4001
Practice Address - Country:US
Practice Address - Phone:781-593-2727
Practice Address - Fax:781-593-2542
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist