Provider Demographics
NPI:1003457151
Name:DUFFEY, MATHEW
Entity type:Individual
Prefix:
First Name:MATHEW
Middle Name:
Last Name:DUFFEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 LINCOLN ROAD
Mailing Address - Street 2:SUITE H, PMB #60
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-6598
Mailing Address - Country:US
Mailing Address - Phone:530-491-3047
Mailing Address - Fax:
Practice Address - Street 1:1103 BUTTE HOUSE RD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3109
Practice Address - Country:US
Practice Address - Phone:530-913-7221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA156206106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist