Provider Demographics
NPI:1285180976
Name:MCDUFFIE, SYEDHA KADEJAH
Entity Type:Individual
Prefix:MRS
First Name:SYEDHA
Middle Name:KADEJAH
Last Name:MCDUFFIE
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SYEDHA
Other - Middle Name:KADEJAH
Other - Last Name:BROWNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35 EVERGREEN AVE APT B3
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-3148
Mailing Address - Country:US
Mailing Address - Phone:860-938-4924
Mailing Address - Fax:
Practice Address - Street 1:45 WADSWORTH ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-7108
Practice Address - Country:US
Practice Address - Phone:860-527-1124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker