Provider Demographics
NPI:1437248291
Name:DUFFEY, DONALD K (PHD PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:K
Last Name:DUFFEY
Suffix:
Gender:M
Credentials:PHD PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 TANNER STREET
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033
Mailing Address - Country:US
Mailing Address - Phone:856-428-7646
Mailing Address - Fax:856-216-1839
Practice Address - Street 1:31 TANNER STREET
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033
Practice Address - Country:US
Practice Address - Phone:856-428-7646
Practice Address - Fax:856-216-1839
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ2090103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ506953Medicare ID - Type Unspecified