Provider Demographics
NPI:1851590970
Name:MCCLUSKEY, ERIN MARY (MS CFY SLP)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:MARY
Last Name:MCCLUSKEY
Suffix:
Gender:F
Credentials:MS CFY SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-4408
Mailing Address - Country:US
Mailing Address - Phone:508-843-8975
Mailing Address - Fax:
Practice Address - Street 1:400 GROTON RD
Practice Address - Street 2:
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1171
Practice Address - Country:US
Practice Address - Phone:978-772-1704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist