Provider Demographics
NPI:1528875754
Name:L DUFFY-TUMASZ, LLC
Entity type:Organization
Organization Name:L DUFFY-TUMASZ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LUCAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DUFFY-TUMSAZ
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:215-495-9758
Mailing Address - Street 1:5126 LOCUST ST FL 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19139-4124
Mailing Address - Country:US
Mailing Address - Phone:215-495-9758
Mailing Address - Fax:
Practice Address - Street 1:100 S BROAD ST STE 1114
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19110-1003
Practice Address - Country:US
Practice Address - Phone:215-495-9758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty