Provider Demographics
NPI:1215437736
Name:CASSIDY, ERIN FRANCES (MS/CCC-SLP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:FRANCES
Last Name:CASSIDY
Suffix:
Gender:F
Credentials:MS/CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5080 QUAIL HILL ST NW APT A
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-7240
Mailing Address - Country:US
Mailing Address - Phone:330-768-7386
Mailing Address - Fax:
Practice Address - Street 1:5080 QUAIL HILL ST NW APT A
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-7240
Practice Address - Country:US
Practice Address - Phone:330-768-7386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.8833235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist