Provider Demographics
NPI:1902909823
Name:DUFFY, LYNN LAUNA (PSYD, LCPC, NCC,)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:LAUNA
Last Name:DUFFY
Suffix:
Gender:F
Credentials:PSYD, LCPC, NCC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 281
Mailing Address - Street 2:
Mailing Address - City:POCOMOKE CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21851-0281
Mailing Address - Country:US
Mailing Address - Phone:410-957-4200
Mailing Address - Fax:410-957-6842
Practice Address - Street 1:607 HOMEWOOD DR
Practice Address - Street 2:
Practice Address - City:POCOMOKE CITY
Practice Address - State:MD
Practice Address - Zip Code:21851-9532
Practice Address - Country:US
Practice Address - Phone:410-957-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1446101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD352205119OtherAPS
MD4100926OtherMAMSI/MDIPA/OPT.CH/ALLIAN
DCM5050001OtherDC NETWORK BC/BS
MD352205119OtherTRICARE
MD352205119OtherUNITED BEHAVIORAL HEALTH
MD352205119OtherAETNA
MD401784600Medicaid
MD560198-000OtherMAGELLAN
MDKFS1OtherCAREFIRST BC/BS
MD401784600Medicaid