Provider Demographics
NPI:1275255648
Name:HUME, ERIKA LESLIE
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:LESLIE
Last Name:HUME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SALEM OUTPATIENT AND COMMUNITY BEHAVIORAL HEALTH CLINIC
Mailing Address - Street 2:35 CONGRESS ST STE 225
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970
Mailing Address - Country:US
Mailing Address - Phone:508-521-2200
Mailing Address - Fax:
Practice Address - Street 1:SALEM OUTPATIENT AND COMMUNITY BEHAVIORAL HEALTH CLINIC
Practice Address - Street 2:35 CONGRESS ST STE 225
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970
Practice Address - Country:US
Practice Address - Phone:508-521-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty