Provider Demographics
NPI:1609004829
Name:COLE, DAVID M (MED/MSW)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:COLE
Suffix:
Gender:M
Credentials:MED/MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01342-9759
Mailing Address - Country:US
Mailing Address - Phone:413-250-6249
Mailing Address - Fax:
Practice Address - Street 1:63 FRENCH KING HWY
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1337
Practice Address - Country:US
Practice Address - Phone:413-585-1306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical