Healthcare Provider Details

I. General information

NPI: 1497887087
Provider Name (Legal Business Name): DALE-ANN COTTER M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WALLACE AVE
BUZZARDS BAY MA
02532-3239
US

IV. Provider business mailing address

10 WALLACE AVE
BUZZARDS BAY MA
02532-3239
US

V. Phone/Fax

Practice location:
  • Phone: 508-759-3716
  • Fax:
Mailing address:
  • Phone: 508-759-3716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1872
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number519
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: