Individual ProviderEdwin Slater JrCounselorBehavioral Health & Social Service ProvidersPractice Address4 Burton Ave Apt 2, Boston, MA 02119-2364(857) 302-8140PECOS EnrollmentBased on the most recent information from CMS, provider Edwin Slater Jr does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1851009138Provider TypeIndividualFull NameSlater Jr, EdwinGenderMaleSole ProprietorYesEnumeration Date11/7/2022Last Updated11/7/2022Contact InformationPractice LocationPractice Address4 Burton Ave Apt 2, Boston, MA 02119-2364Phone(857) 302-8140FaxUnlisted FaxMailing LocationMailing Address4 Burton Ave Apt 2, Boston, MA 02119-2364Phone(857) 302-8140FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID10021970726DescriptionMedicaidIssuerUnlistedMassachusetts