Provider Demographics
NPI:1821865841
Name:LECLERC, BETHANY A (CD(DONA), CLC, BCCE)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:A
Last Name:LECLERC
Suffix:
Gender:F
Credentials:CD(DONA), CLC, BCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 OAK ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-1908
Mailing Address - Country:US
Mailing Address - Phone:603-731-5503
Mailing Address - Fax:
Practice Address - Street 1:32 OAK ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-1908
Practice Address - Country:US
Practice Address - Phone:603-731-5503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula