Provider Demographics
NPI:1285909853
Name:EATON, THOMAS A (PHD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:A
Last Name:EATON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 NEPONSET ST
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-5603
Mailing Address - Country:US
Mailing Address - Phone:781-440-0350
Mailing Address - Fax:
Practice Address - Street 1:714 NEPONSET ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5603
Practice Address - Country:US
Practice Address - Phone:781-440-0350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No1744R1102XOther Service ProvidersSpecialistResearch Study