Doctor Name: | MARIA A MURPHY |
NPI Number: | 1245536929 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LMHC, LCPC |
License Number: | 180.003736 |
Business Practice Address: | 5422 First Coast Hwy Suite 116 Amelia Island, FL - 320345423 |
Business Phone Number: | 9042617022 |
Business Fax Number: | 8002105660 |
Mailing Address: | 5422 First Coast Hwy, Suite 116 AMELIA ISLAND |
State: | FL |
Postal Code: | 320345423 |
Phone Number: | 9042617022 |
Fax Number: | 8002105660 |
NPI Enumeration Date: | 01/28/2011 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180.003736 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |