Provider Demographics
NPI:1164731048
Name:DECOU, CATHY H (PHD LICSW)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:H
Last Name:DECOU
Suffix:
Gender:F
Credentials:PHD LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9157
Mailing Address - Country:US
Mailing Address - Phone:413-323-5206
Mailing Address - Fax:
Practice Address - Street 1:245 RUSSELL ST
Practice Address - Street 2:STE 19B
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9529
Practice Address - Country:US
Practice Address - Phone:413-586-8485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA1065151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical