Provider Demographics
NPI:1447572789
Name:DUFFY, DONATA (BSW)
Entity Type:Individual
Prefix:
First Name:DONATA
Middle Name:
Last Name:DUFFY
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 E FALL CREEK PARKWAY NORTH DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-3675
Mailing Address - Country:US
Mailing Address - Phone:317-258-2165
Mailing Address - Fax:
Practice Address - Street 1:3416 E FALL CREEK PARKWAY NORTH DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-3675
Practice Address - Country:US
Practice Address - Phone:317-258-2165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker