Provider Demographics
NPI:1043836117
Name:DUNCAN, CLAUDETTE FLORINA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:FLORINA
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COURT SQ
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-3701
Mailing Address - Country:US
Mailing Address - Phone:540-434-9916
Mailing Address - Fax:
Practice Address - Street 1:1 COURT SQ
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-3701
Practice Address - Country:US
Practice Address - Phone:540-434-9916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202009412235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist