Individual
DR. CLAIRE MICHELLE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-1109
(774) 826-2815
Mailing address
39 HEWLETT ST # 1, ROSLINDALE, MA 02131-1509
(502) 777-7630
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11064
MA
103TC0700X
Clinical Psychologist
PS01711
RI
Other
Enumeration date
07/12/2018
Last updated
07/15/2020
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