Individual
DR. ANNE B BELLEFEUILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
85 CONSTITUTION LN # 300A, DANVERS, MA 01923-3694
(978) 626-1105
(978) 750-0766
Mailing address
85 CONSTITUTION LN STE 300A, DANVERS, MA 01923-3694
(978) 626-1105
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
8686
MA
103TC0700X
Clinical Psychologist
8686
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
04/03/2007
Last updated
08/15/2023
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