Provider Demographics
NPI:1548989940
Name:BUESSER, CLAIRE ANNA
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ANNA
Last Name:BUESSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GILSON TER APT 1
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-2278
Mailing Address - Country:US
Mailing Address - Phone:862-812-9046
Mailing Address - Fax:
Practice Address - Street 1:7 GILSON TER APT 1
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-2278
Practice Address - Country:US
Practice Address - Phone:862-812-9046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician