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General NPI Number Information
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NPI Number | 1023912672
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Entity Type | Individual
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Provider Name | MATTHEW BRUCE DUFF
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Gender | Male
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 195 NE GILMAN BLVD STE 100
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City | ISSAQUAH
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State | WA
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Zip | 98027-2940
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Country | US
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Telephone | 425-295-7697
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Fax |
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Provider Business Mailing Address
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Address Line | 10908 57TH AVENUE CT E
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City | PUYALLUP
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State | WA
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Zip | 98373-5716
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Country | US
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Telephone | 425-281-9760
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | NULL
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