Provider Demographics
NPI:1316150683
Name:ATKINS, STEVEN CAREY (PSYD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CAREY
Last Name:ATKINS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 62
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-0062
Mailing Address - Country:US
Mailing Address - Phone:603-640-6156
Mailing Address - Fax:
Practice Address - Street 1:72 E WILDER RD
Practice Address - Street 2:
Practice Address - City:WEST LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03784-3107
Practice Address - Country:US
Practice Address - Phone:603-640-6156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH887103TC0700X
VT831103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30422945Medicaid