Provider Demographics
NPI:1528099934
Name:DUFFEY, NELDA SUE (PHD)
Entity type:Individual
Prefix:DR
First Name:NELDA
Middle Name:SUE
Last Name:DUFFEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:NELDA
Other - Middle Name:SUE
Other - Last Name:VESSELLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2418 MILES RD SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-3224
Mailing Address - Country:US
Mailing Address - Phone:505-767-9974
Mailing Address - Fax:505-842-1503
Practice Address - Street 1:2418 MILES RD SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-3224
Practice Address - Country:US
Practice Address - Phone:505-767-9974
Practice Address - Fax:505-842-1503
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0162101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health