Provider Demographics
NPI:1023235736
Name:BEATON, STEPHEN DENNIS (CADAC)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:DENNIS
Last Name:BEATON
Suffix:
Gender:M
Credentials:CADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 DERRY RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-3020
Mailing Address - Country:US
Mailing Address - Phone:603-595-3399
Mailing Address - Fax:603-579-2734
Practice Address - Street 1:323 DERRY RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-3020
Practice Address - Country:US
Practice Address - Phone:035-953-3996
Practice Address - Fax:603-579-2734
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1200101YA0400X
MA1238AD101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)