Doctor Name: | DR. RONALD MURPHY |
NPI Number: | 1184795650 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 35S100131600 |
Business Practice Address: | 14 Terrace Dr Port Washington, NY - 110503420 |
Business Phone Number: | 5167672723 |
Business Fax Number: | |
Mailing Address: | 14 Terrace Dr, PORT WASHINGTON |
State: | NY |
Postal Code: | 110503420 |
Phone Number: | 5167672723 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 35S100131600 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |