Provider Demographics
NPI:1053981597
Name:DUNCANPAULEY, CHADNEY ANN
Entity type:Individual
Prefix:MS
First Name:CHADNEY
Middle Name:ANN
Last Name:DUNCANPAULEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12115 VALLEYHEART DR UNIT 1
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2086
Mailing Address - Country:US
Mailing Address - Phone:747-203-3067
Mailing Address - Fax:
Practice Address - Street 1:12115 VALLEYHEART DR UNIT 1
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2086
Practice Address - Country:US
Practice Address - Phone:747-203-3067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPCC6536101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional