Provider Demographics
NPI:1598988131
Name:BECOTTE, DENNIS P (PHD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:P
Last Name:BECOTTE
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 1:142 MAIN ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2766
Mailing Address - Country:US
Mailing Address - Phone:603-769-1154
Mailing Address - Fax:
Practice Address - Street 1:142 MAIN ST
Practice Address - Street 2:SUITE 220
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2766
Practice Address - Country:US
Practice Address - Phone:603-769-1154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1059103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist