Provider Demographics
NPI:1982914180
Name:DUFFY, MARCY LYNN (LPC, CACD, CCDPD)
Entity type:Individual
Prefix:MRS
First Name:MARCY
Middle Name:LYNN
Last Name:DUFFY
Suffix:
Gender:F
Credentials:LPC, CACD, CCDPD
Other - Prefix:
Other - First Name:MARCY
Other - Middle Name:LYNN
Other - Last Name:MEYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1509 N MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18508-1866
Mailing Address - Country:US
Mailing Address - Phone:570-335-8710
Mailing Address - Fax:
Practice Address - Street 1:1509 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18508-1866
Practice Address - Country:US
Practice Address - Phone:570-335-8710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-21
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004870101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor