Healthcare Provider Details

I. General information

NPI: 1699823716
Provider Name (Legal Business Name): ROSEMARY M CALVERLEY ED.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 04/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 OLD DERBY STREET THE LINCOLN BUILDING SUITE 451
HINGHAM MA
02043
US

IV. Provider business mailing address

24 CARROLL DR SUITE A
FOXBORO MA
02035-1559
US

V. Phone/Fax

Practice location:
  • Phone: 508-315-9021
  • Fax: 781-749-5853
Mailing address:
  • Phone: 508-315-9021
  • Fax: 781-749-5853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7254
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: