Individual
DR. KEVIN PATRICK DUFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
884 BRIGHTON RD, TONAWANDA, NY 14150-8169
(716) 836-9460
(716) 836-9462
Mailing address
884 BRIGHTON RD, TONAWANDA, NY 14150-8169
(716) 836-9460
(716) 836-9462
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
68 015908
NY
103TC2200X
Clinical Child & Adolescent Psychologist
68 015908
NY
103TS0200X
School Psychologist
Primary
68 015908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026901802
UNIVERA
NY
01
—
000527938003
BC BS
NY
01
—
539875
VO
NY
01
—
6112738
IHA
NY
Enumeration date
01/20/2007
Last updated
09/11/2025
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