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Individual

DR. EDMUND PIPER DELACOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
16 CENTER ST, SUITE 405, NORTHAMPTON, MA 01060-3031
(413) 586-8818
(413) 586-8818
Mailing address
16 CENTER ST, SUITE 405, NORTHAMPTON, MA 01060-3031
(413) 586-8818
(413) 586-8818

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2079
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
290233000
MAGELLAN MIS NUMBER
MA
01
W02347
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/16/2007
Last updated
07/08/2007
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