Healthcare Provider Details

I. General information

NPI: 1356250575
Provider Name (Legal Business Name): BRIAN J DUNCAN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 E GUADALUPE RD
TEMPE AZ
85283-3971
US

IV. Provider business mailing address

13254 E LARREA LN
FLORENCE AZ
85132-7754
US

V. Phone/Fax

Practice location:
  • Phone: 480-921-3314
  • Fax:
Mailing address:
  • Phone: 909-241-3716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY-006141
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: