Provider Demographics
NPI:1689725194
Name:LAPUC, PAUL STEPHEN (PHD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:STEPHEN
Last Name:LAPUC
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 PASTURE LN
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02633-1941
Mailing Address - Country:US
Mailing Address - Phone:774-722-1405
Mailing Address - Fax:413-529-9990
Practice Address - Street 1:184 NORTHAMPTON ST
Practice Address - Street 2:SUITE B
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1049
Practice Address - Country:US
Practice Address - Phone:413-527-3095
Practice Address - Fax:413-529-9990
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA729103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0505269Medicaid
MD0505269Medicaid