1750417119 NPI number — MS. MARGARET BEHR LAIRD LICSW

Table of content: MS. MARGARET BEHR LAIRD LICSW (NPI 1750417119)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750417119 NPI number — MS. MARGARET BEHR LAIRD LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAIRD
Provider First Name:
MARGARET
Provider Middle Name:
BEHR
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LAIRD
Provider Other First Name:
MEG
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LICSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1750417119
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
104 PETTICOAT HILL ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILLIAMSBURG
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01096
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-268-9353
Provider Business Mailing Address Fax Number:
413-585-2833

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 PLEASANT STREET
Provider Second Line Business Practice Location Address:
SECOND FLOOR
Provider Business Practice Location Address City Name:
NORTHAMPTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-585-8772
Provider Business Practice Location Address Fax Number:
413-585-8772
Provider Enumeration Date:
02/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  1026566 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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