MEDICARE: ERIN FINGRUT MS CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	8073	MA

General Provider Information

NPI Number	:	1841632668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN FINGRUT MS CCC-SLP

Provider Business Mailing Address
First Line	:	3 WOODLAND RD STE 216
Second Line	:
City	:	STONEHAM
State	:	MA
Zip	:	02180-1711
Country	:	US
Telephone Number	:	781-935-3855
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 WOODLAND RD STE 216
Second Line	:
City	:	STONEHAM
State	:	MA
Zip	:	02180-1711
Country	:	US
Telephone Number	:	781-935-3855
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2013
Last Update Date	:	09/16/2022

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