Provider Demographics
NPI:1982830030
Name:BEATON, CATHERINE MARIE (MA)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARIE
Last Name:BEATON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 POWDER SPRING RD
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:VT
Mailing Address - Zip Code:05046-3744
Mailing Address - Country:US
Mailing Address - Phone:802-272-3535
Mailing Address - Fax:
Practice Address - Street 1:28 E STATE ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3087
Practice Address - Country:US
Practice Address - Phone:802-272-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0067870101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health