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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033139563 | NPPES |
Massachusetts | MEDICAID | 0506605 |
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