Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
NPI | 1518230150 |
---|---|
Provider Name | Miss Holly Duffy |
First Address | Santa Barbara, CA 93101-1267 |
Second Address | Santa Barbara, CA 93110-1848 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2012 |
Last Update Date | 13/02/2012 |