Healthcare Provider Details

I. General information

NPI: 1073613030
Provider Name (Legal Business Name): STEPHEN M NOYES MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MOUNT EUSTIS RD
LITTLETON NH
03561-3712
US

IV. Provider business mailing address

99 COTTAGE ST
BETHLEHEM NH
03574-4904
US

V. Phone/Fax

Practice location:
  • Phone: 603-444-2464
  • Fax: 603-444-3441
Mailing address:
  • Phone: 603-839-3327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1022
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: