Provider Demographics
NPI:1477114163
Name:HOULE, ZACHARY ARMAND (BA, CPHT, PRS, MTM-C)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:ARMAND
Last Name:HOULE
Suffix:
Gender:M
Credentials:BA, CPHT, PRS, MTM-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 603
Mailing Address - Street 2:
Mailing Address - City:HOUSATONIC
Mailing Address - State:MA
Mailing Address - Zip Code:01236-0603
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 SAVOY RD
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:MA
Practice Address - Zip Code:01225-9018
Practice Address - Country:US
Practice Address - Phone:413-749-3166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPT17292183700000X
MA517944171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No183700000XPharmacy Service ProvidersPharmacy Technician