Provider Demographics
NPI:1083185896
Name:COTE, MICHELLE ANNE
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ANNE
Last Name:COTE
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 1:22 HALFORD ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-1948
Mailing Address - Country:US
Mailing Address - Phone:978-333-1741
Mailing Address - Fax:
Practice Address - Street 1:277 MAIN ST STE 308
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-5520
Practice Address - Country:US
Practice Address - Phone:508-485-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician