Healthcare Provider Details

I. General information

NPI: 1609202654
Provider Name (Legal Business Name): MELISSA E COY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2013
Last Update Date: 09/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FEDERAL ST
GREENFIELD MA
01301-2546
US

IV. Provider business mailing address

55 FEDERAL ST
GREENFIELD MA
01301-2546
US

V. Phone/Fax

Practice location:
  • Phone: 413-772-2935
  • Fax: 413-772-3724
Mailing address:
  • Phone: 413-772-2935
  • Fax: 413-772-3724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: