Provider Demographics
NPI:1083732564
Name:DUFFY, JOHN F (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:DUFFY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 WASHINGTON RD STE 507
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1929
Mailing Address - Country:US
Mailing Address - Phone:412-969-5228
Mailing Address - Fax:412-343-5670
Practice Address - Street 1:615 WASHINGTON RD STE 507
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1929
Practice Address - Country:US
Practice Address - Phone:412-969-5228
Practice Address - Fax:412-343-5670
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS018944103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical