Doctor Name: | JENNY ELIZABETH MURDOCK |
NPI Number: | 1023432044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW11700 |
Business Practice Address: | 220 S Courtenay Pkwy Suite B Merritt Island, FL - 329524893 |
Business Phone Number: | 3218685815 |
Business Fax Number: | 3214532994 |
Mailing Address: | 220 S Courtenay Pkwy, Suite B MERRITT ISLAND |
State: | FL |
Postal Code: | 329524893 |
Phone Number: | 3218685815 |
Fax Number: | 3214532994 |
NPI Enumeration Date: | 02/11/2014 |
NPI Last Update Date: | 02/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW11700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |