Provider Demographics
NPI:1033276167
Name:DUFFY, ROSEMARY KATHLEEN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:KATHLEEN
Last Name:DUFFY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PARKER DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-3414
Mailing Address - Country:US
Mailing Address - Phone:978-251-3380
Mailing Address - Fax:
Practice Address - Street 1:73 PRINCETON ST STE 314
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1558
Practice Address - Country:US
Practice Address - Phone:978-251-3380
Practice Address - Fax:978-251-3308
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2012-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7756103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA370738OtherMAGELLAN
MA457897OtherTUFTS HEALTH
MAW05961OtherBLUE CROSS
MA370738OtherMAGELLAN