Individual
DOROTHY P DUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4918
Mailing address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4918
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0819
NM
103TA0700X
Adult Development & Aging Psychologist
0819
NM
103TB0200X
Cognitive & Behavioral Psychologist
0819
NM
103TC0700X
Clinical Psychologist
0819
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46674772
—
NM
Enumeration date
02/15/2007
Last updated
12/06/2007
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