Provider Demographics
NPI:1730327081
Name:PEREIRA, HELENA ROSA (MA CCC/SLP)
Entity type:Individual
Prefix:MISS
First Name:HELENA
Middle Name:ROSA
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 MOTYKA ST
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-2127
Mailing Address - Country:US
Mailing Address - Phone:215-688-0913
Mailing Address - Fax:
Practice Address - Street 1:95 POST OFFICE PARK
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1248
Practice Address - Country:US
Practice Address - Phone:187-745-4371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-24
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6925235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist