Provider Demographics
NPI:1205986361
Name:DUFRESNE, FRANCIS CACO (EDD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:CACO
Last Name:DUFRESNE
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 STEADY LN RD
Mailing Address - Street 2:
Mailing Address - City:ASHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01330-9771
Mailing Address - Country:US
Mailing Address - Phone:413-628-0182
Mailing Address - Fax:
Practice Address - Street 1:443 STEADY LN RD
Practice Address - Street 2:
Practice Address - City:ASHFIELD
Practice Address - State:MA
Practice Address - Zip Code:01330-9771
Practice Address - Country:US
Practice Address - Phone:413-628-0182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3939PR103G00000X, 103TC2200X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool