Healthcare Provider Details

I. General information

NPI: 1427977842
Provider Name (Legal Business Name): JENNIFER DUFFY ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5990 S VAL VISTA DR
CHANDLER AZ
85249-9028
US

IV. Provider business mailing address

5990 S VAL VISTA DR
CHANDLER AZ
85249-9028
US

V. Phone/Fax

Practice location:
  • Phone: 480-224-2110
  • Fax: 480-224-9315
Mailing address:
  • Phone: 480-224-2110
  • Fax: 480-224-9315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: