Doctor Name: | DR. CATHY H DECOU |
NPI Number: | 1164731048 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD LICSW |
License Number: | MA106515 |
Business Practice Address: | 245 Russell St Ste 19b Hadley, MA - 010359529 |
Business Phone Number: | 4135868485 |
Business Fax Number: | |
Mailing Address: | 115 Mountain View Dr, BELCHERTOWN |
State: | MA |
Postal Code: | 010079157 |
Phone Number: | 4133235206 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2010 |
NPI Last Update Date: | 09/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | MA106515 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |