Healthcare Provider Details

I. General information

NPI: 1881510410
Provider Name (Legal Business Name): ERIN HOPE JUSSAUME
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

561 VIRGINIA RD STE 102
CONCORD MA
01742-2768
US

IV. Provider business mailing address

19 BRITTANY LN
DUNSTABLE MA
01827-1640
US

V. Phone/Fax

Practice location:
  • Phone: 978-254-1002
  • Fax:
Mailing address:
  • Phone: 339-224-3882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: