MEDICARE: DR. JOHN F DUFFY PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PS018944	PA

General Provider Information

NPI Number	:	1083732564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN F DUFFY PH.D.

Provider Business Mailing Address
First Line	:	615 WASHINGTON RD STE 507
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1929
Country	:	US
Telephone Number	:	412-969-5228
Fax Number	:	412-343-5670

Provider Business Practice Location Address
First Line	:	615 WASHINGTON RD STE 507
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1929
Country	:	US
Telephone Number	:	412-969-5228
Fax Number	:	412-343-5670

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	01/11/2020

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Directions to “ DR. JOHN F DUFFY PH.D.” Practice Location

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