Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 103G00000X | Clinical Psychologist | PSY26067 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY26067 | CA |
NPI | 1013167022 |
---|---|
Provider Name | Dr. Stacy Duffy |
First Address | Daly City, CA 94015-1430 |
Second Address | Palo Alto, CA 94301-2124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2008 |
Last Update Date | 14/04/2017 |