Individual ProviderMitch IrwinSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address394 Bergen St, Apt. 3, Brooklyn, NY 11217-4632(515) 490-2028PECOS EnrollmentBased on the most recent information from CMS, provider Mitch Irwin 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 4 days ago.Profile DetailsProvider ID1902231681Provider TypeIndividualFull NameIrwin, MitchTitleMr.CredentialM.S., SLP-CFYGenderMaleSole ProprietorNoEnumeration Date9/12/2013Last Updated9/12/2013Contact InformationPractice LocationPractice Address394 Bergen St, Apt. 3, Brooklyn, NY 11217-4632Phone(515) 490-2028FaxUnlisted FaxMailing LocationMailing Address394 Bergen St, Apt. 3, Brooklyn, NY 11217-4632Phone(515) 490-2028FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer