Provider Demographics
NPI:1548403082
Name:LANGLOIS, COLETTE BEATRICE
Entity Type:Individual
Prefix:
First Name:COLETTE
Middle Name:BEATRICE
Last Name:LANGLOIS
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 1:10 BRIDGE ST
Mailing Address - Street 2:SIMPSON BLOCK
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1268
Mailing Address - Country:US
Mailing Address - Phone:978-453-5736
Mailing Address - Fax:978-970-5595
Practice Address - Street 1:10 BRIDGE ST
Practice Address - Street 2:SIMPSON BLOCK
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1268
Practice Address - Country:US
Practice Address - Phone:978-453-5736
Practice Address - Fax:978-970-5595
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health