Individual ProviderCaroline Rose WaldisSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address670 N Grant St Apt 704, Denver, CO 80203-4299(609) 760-6174PECOS EnrollmentBased on the most recent information from CMS, provider Caroline Rose Waldis 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 1:08 PM.Profile DetailsProvider ID1942969357Provider TypeIndividualFull NameWaldis, Caroline RoseCredentialMA., CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date12/13/2021Last Updated1/2/2023Contact InformationPractice LocationPractice Address670 N Grant St Apt 704, Denver, CO 80203-4299Phone(609) 760-6174FaxUnlisted FaxMailing LocationMailing Address670 N Grant St Apt 704, Denver, CO 80203-4299Phone(609) 760-6174FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSLP.0004553Colorado