Provider Demographics
NPI:1699823716
Name:CALVERLEY, ROSEMARY M (EDD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:M
Last Name:CALVERLEY
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:24 CARROLL DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-1559
Mailing Address - Country:US
Mailing Address - Phone:508-315-9021
Mailing Address - Fax:781-749-5853
Practice Address - Street 1:160 OLD DERBY STREET
Practice Address - Street 2:THE LINCOLN BUILDING SUITE 451
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043
Practice Address - Country:US
Practice Address - Phone:508-315-9021
Practice Address - Fax:781-749-5853
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA7254103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1005325OtherBEACON
MA614469OtherTUFTS
MAW05755OtherBLUE CROSS BLUE SHIELD
MAW10635OtherBLUE CROSS BLUE SHIELD
MA027094000OtherMAGELLAN
MA2005418OtherCIGNA
MA410324OtherTUFTS
MA32352OtherBMC HEALTH NET
MA430201OtherHP PBHC
MA0596299Medicaid
MA449727OtherHP PBHC
MA027094000OtherMAGELLAN
MA430201OtherHP PBHC