Provider Demographics
NPI:1942408273
Name:DUFFY, JOCELYN KAY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:KAY
Last Name:DUFFY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8510 NE 97TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64157-7600
Mailing Address - Country:US
Mailing Address - Phone:816-536-0140
Mailing Address - Fax:
Practice Address - Street 1:8510 NE 97TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64157-7600
Practice Address - Country:US
Practice Address - Phone:816-536-0140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004025503235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist