Provider Demographics
NPI:1306983473
Name:DUFFY, COLLEEN MARGARET (PHD)
Entity type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:MARGARET
Last Name:DUFFY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1502 WEST HIGHWAY 54
Mailing Address - Street 2:SUITE 406
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707
Mailing Address - Country:US
Mailing Address - Phone:919-493-6300
Mailing Address - Fax:919-493-6307
Practice Address - Street 1:1502 WEST HIGHWAY 54
Practice Address - Street 2:SUITE 406
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707
Practice Address - Country:US
Practice Address - Phone:919-493-6300
Practice Address - Fax:919-493-6307
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2724103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling