Provider Demographics
NPI:1497075246
Name:COUTURE, PAIGE CACHAT (MED)
Entity Type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:CACHAT
Last Name:COUTURE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MS
Other - First Name:PAIGE
Other - Middle Name:CACHAT
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:1233 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-5381
Mailing Address - Country:US
Mailing Address - Phone:413-539-2617
Mailing Address - Fax:413-539-2496
Practice Address - Street 1:1233 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-5381
Practice Address - Country:US
Practice Address - Phone:413-539-2617
Practice Address - Fax:413-539-2496
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health