Provider Demographics
NPI:1326855149
Name:KARAYANNACOS, HELLAS (CCC-SLP, IBCLC)
Entity type:Individual
Prefix:
First Name:HELLAS
Middle Name:
Last Name:KARAYANNACOS
Suffix:
Gender:F
Credentials:CCC-SLP, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 CAMBRIDGE RD # 160
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6037
Mailing Address - Country:US
Mailing Address - Phone:304-504-6455
Mailing Address - Fax:
Practice Address - Street 1:348 CAMBRIDGE RD # 160
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6037
Practice Address - Country:US
Practice Address - Phone:304-504-6455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8777235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty