Individual
DR. KATHLEEN MARY DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5876
(262) 434-5809
Mailing address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-5876
(262) 434-5809
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4101125
WI
103T00000X
Psychologist
Primary
2886
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001341
—
WI
Enumeration date
12/11/2008
Last updated
11/10/2023
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