Ducharme, Stanley H.

Ducharme, Stanley H. is an sole proprietor health care provider with primary practice located at 720 Harrison Ave Suite 606, Boston MA 02118-2371. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ducharme, Stanley H. can be contacted via phone (617) 638-7358.

Contact Information

Primary practice address
720 Harrison Ave Suite 606 Boston MA 02118-2371
Phone: (617) 638-7358
Fax: (617) 638-8960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 2191 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2191 Massachusetts
Behavioral Health & Social Service Providers / Health Service 103TH0100X 2191 Massachusetts

Profile Details

NPI number 1033139563
LBN Legal business name Ducharme, Stanley H.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Aug 26th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033139563 NPPES
Massachusetts MEDICAID 0506605

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