Provider Demographics
NPI:1063852184
Name:DUNCAN, JENNIFER M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:M
Last Name:DUNCAN
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 1:1625 HENLEY CT
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-6910
Mailing Address - Country:US
Mailing Address - Phone:224-565-8318
Mailing Address - Fax:
Practice Address - Street 1:525 EAST MARKET ST
Practice Address - Street 2:SUMMA HEALTH NETWORK
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44309
Practice Address - Country:US
Practice Address - Phone:224-565-8318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist