Provider Demographics
NPI:1326092040
Name:LEVESQUE, CLAIRE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:ANN
Last Name:LEVESQUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CLAIRE
Other - Middle Name:ANN
Other - Last Name:TANSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:280 MANNING ST
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492
Mailing Address - Country:US
Mailing Address - Phone:781-449-9658
Mailing Address - Fax:
Practice Address - Street 1:80 BRIDGE ST
Practice Address - Street 2:STE 206 BOSTON NEURO BEHAVIORAL ASSOCIATES
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026
Practice Address - Country:US
Practice Address - Phone:781-461-0800
Practice Address - Fax:781-461-8181
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA730772084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA050442OtherEVERCARE
MA073077OtherTUFTS HEALTH PLAN
MA0019519OtherNEIGHBORHOOD HEALTH PLAN
MA12064OtherHARVARD PILGRIM
MA3065332Medicaid
J10332OtherBLUE CROSS BLUE SHIELD
020056OtherBMC HEALTHNET
MA050442OtherEVERCARE
MA073077OtherTUFTS HEALTH PLAN