Provider Demographics
NPI:1821809914
Name:DEVEAUX, ELEANOR C (MA)
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:C
Last Name:DEVEAUX
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 GROVE ST APT 5
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3535
Mailing Address - Country:US
Mailing Address - Phone:860-819-9948
Mailing Address - Fax:
Practice Address - Street 1:31 GROVE ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3551
Practice Address - Country:US
Practice Address - Phone:860-819-9948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program