Provider Demographics
NPI:1407376080
Name:DUFFY, KATHERINE A (AUD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:DUFFY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BEL AIR SOUTH PKWY STE N1411
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6091
Mailing Address - Country:US
Mailing Address - Phone:410-569-3800
Mailing Address - Fax:443-320-9468
Practice Address - Street 1:5 BEL AIR SOUTH PKWY STE N1411
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6091
Practice Address - Country:US
Practice Address - Phone:410-569-3800
Practice Address - Fax:443-320-9468
Is Sole Proprietor?:No
Enumeration Date:2017-06-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01427231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist