Provider Demographics
NPI:1386969921
Name:CHETWYND, ERIN (MA)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:CHETWYND
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 COURTHOUSE LN UNIT 3
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1716
Mailing Address - Country:US
Mailing Address - Phone:978-275-9444
Mailing Address - Fax:
Practice Address - Street 1:339 CHACE ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MA
Practice Address - Zip Code:01510-2821
Practice Address - Country:US
Practice Address - Phone:978-368-0725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health