Provider Demographics
NPI:1104993898
Name:DUNCAN-HASSEL, TRICIA LYNN (PSYD)
Entity type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:LYNN
Last Name:DUNCAN-HASSEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 S GLENDORA AVE
Mailing Address - Street 2:STE 130
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-6207
Mailing Address - Country:US
Mailing Address - Phone:626-600-8601
Mailing Address - Fax:626-852-5757
Practice Address - Street 1:410 S GLENDORA AVE
Practice Address - Street 2:STE 130
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-6207
Practice Address - Country:US
Practice Address - Phone:626-600-8601
Practice Address - Fax:626-852-5757
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19604103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical