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NPI Code Detail

MEDICARE: DR. KATHLEEN DAVISON DUNCAN PSY.D.

MEDICARE: DR. KATHLEEN DAVISON DUNCAN PSY.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
1103G00000XClinical Neuropsychologist0810003449VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669565214
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN DAVISON DUNCAN PSY.D.
Provider Business Mailing Address
First Line : 1545 CROSSWAYS BLVD STE 250
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-0218
Country : US
Telephone Number : 757-206-2772
Fax Number : 757-296-2263
Provider Business Practice Location Address
First Line : 1545 CROSSWAYS BLVD STE 250
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-0218
Country : US
Telephone Number : 757-373-3449
Fax Number : 757-296-2263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/16/2021

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