Provider Demographics
NPI:1285768440
Name:DELACOUR, EDMUND PIPER (PHD)
Entity type:Individual
Prefix:DR
First Name:EDMUND
Middle Name:PIPER
Last Name:DELACOUR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CENTER ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3031
Mailing Address - Country:US
Mailing Address - Phone:413-586-8818
Mailing Address - Fax:413-586-8818
Practice Address - Street 1:16 CENTER ST
Practice Address - Street 2:SUITE 405
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3031
Practice Address - Country:US
Practice Address - Phone:413-586-8818
Practice Address - Fax:413-586-8818
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2079103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW02347OtherBLUE CROSS BLUE SHIELD
MA290233000OtherMAGELLAN MIS NUMBER
MAW02347OtherBLUE CROSS BLUE SHIELD