Doctor Name: | KATHLEEN T MURRAY |
NPI Number: | 1104076827 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 01-09P |
Business Practice Address: | 226 W Main St Ste 208 Ottumwa, IA - 525012503 |
Business Phone Number: | 4795307003 |
Business Fax Number: | 6416821924 |
Mailing Address: | 226 W Main St, Ste 208 OTTUMWA |
State: | IA |
Postal Code: | 525012503 |
Phone Number: | 4795307003 |
Fax Number: | 6416821924 |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 12/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 01-09P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |