Provider Demographics
NPI:1740763085
Name:DUFFY, CORTNEY DEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:CORTNEY
Middle Name:DEL
Last Name:DUFFY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2827 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55812-2323
Mailing Address - Country:US
Mailing Address - Phone:612-910-1653
Mailing Address - Fax:
Practice Address - Street 1:306 W SUPERIOR ST STE 405
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-5017
Practice Address - Country:US
Practice Address - Phone:218-203-9335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP6283103TC1900X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling