Individual
DR. MARTHA E DUFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
504 W 17TH ST, AUSTIN, TX 78701-1203
(512) 476-5683
Mailing address
504 W 17TH ST, AUSTIN, TX 78701-1203
(512) 476-5683
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25374
TX
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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