Healthcare Provider Details

I. General information

NPI: 1922962984
Provider Name (Legal Business Name): ERIN ELIZABETH TERRANCE CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 SHUNPIKE RD
CROMWELL CT
06416-1142
US

IV. Provider business mailing address

32 WASHINGTON ST
PLAINVILLE CT
06062-2115
US

V. Phone/Fax

Practice location:
  • Phone: 860-852-0302
  • Fax: 860-358-9494
Mailing address:
  • Phone: 860-836-1102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number18.006241
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: