Provider Demographics
NPI:1760710099
Name:DEFRANC, WILLIAM
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:DEFRANC
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 COPELAND ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4005
Mailing Address - Country:US
Mailing Address - Phone:617-789-0137
Mailing Address - Fax:
Practice Address - Street 1:234 COPELAND ST
Practice Address - Street 2:SUITE 320
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4005
Practice Address - Country:US
Practice Address - Phone:617-789-0137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7806103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling