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NPI Code Detail

MEDICARE: DR. ALEXANDRA HIATT DUFFY PSY.D.

MEDICARE: DR. ALEXANDRA HIATT DUFFY 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
1103TC0700XClinical PsychologistPSY.0006764CO
2103TC0700XClinical PsychologistPSY5000163MA
3103TC0700XClinical Psychologist3202NC
4103TC0700XClinical PsychologistPSY20193CA

General Provider Information

NPI Number : 1891856571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDRA HIATT DUFFY PSY.D.
Provider Business Mailing Address
First Line : 11220 ELM LN STE 203
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-0450
Country : US
Telephone Number : 704-654-1970
Fax Number :
Provider Business Practice Location Address
First Line : 11220 ELM LN STE 203
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-0450
Country : US
Telephone Number : 704-654-1920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 07/31/2025

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