Provider Demographics
NPI:1659954949
Name:DUFFY, RACHEL LAUREN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LAUREN
Last Name:DUFFY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 HIGH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-3013
Mailing Address - Country:US
Mailing Address - Phone:703-336-7831
Mailing Address - Fax:
Practice Address - Street 1:230 HIGH RIDGE RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-3013
Practice Address - Country:US
Practice Address - Phone:703-336-7831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023840103TC0700X
CT4002103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical