Provider Demographics
NPI:1528274818
Name:BUTTERFIELD, CLAIRE CARTER (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:CARTER
Last Name:BUTTERFIELD
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 W ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-1235
Mailing Address - Country:US
Mailing Address - Phone:617-501-3266
Mailing Address - Fax:
Practice Address - Street 1:128 W ADAMS ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-1235
Practice Address - Country:US
Practice Address - Phone:617-501-3266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6292235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASP0112OtherBCBS PROVIDER NUMBER