Provider Demographics
NPI:1629474382
Name:DEVEAU, ADAM TUCKER
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:TUCKER
Last Name:DEVEAU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 AVENUE A
Mailing Address - Street 2:
Mailing Address - City:TURNERS FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01376-1114
Mailing Address - Country:US
Mailing Address - Phone:508-341-0617
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:413-537-2819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor