Provider Demographics
NPI:1376582536
Name:DUNCAN, JULIANNE CHRISTINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:CHRISTINE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:CHRISTINE
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:810 DRIFTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4449
Mailing Address - Country:US
Mailing Address - Phone:214-202-8575
Mailing Address - Fax:
Practice Address - Street 1:3112 N JUPITER RD
Practice Address - Street 2:SUITE 203
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-6578
Practice Address - Country:US
Practice Address - Phone:214-202-8575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25583103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0081AJMedicare ID - Type Unspecified