Provider Demographics
NPI:1346453206
Name:DUFFY, ANN (MS CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:DUFFY
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 CASSELBERRY RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-1631
Mailing Address - Country:US
Mailing Address - Phone:502-836-5178
Mailing Address - Fax:502-458-1237
Practice Address - Street 1:1815 CASSELBERRY RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1631
Practice Address - Country:US
Practice Address - Phone:502-836-5178
Practice Address - Fax:502-458-1237
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0762235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist