| Doctor Name: | JO REVELLE MURRAY |
| NPI Number: | 1699152926 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED CCC-SLP |
| License Number: | 11157 |
| Business Practice Address: | 4979 Southport Supply Rd Se Southport, NC - 284618742 |
| Business Phone Number: | 9106121002 |
| Business Fax Number: | 9107555865 |
| Mailing Address: | 4979 Southport Supply Rd Se, SOUTHPORT |
| State: | NC |
| Postal Code: | 284618742 |
| Phone Number: | 9106121002 |
| Fax Number: | 9107555865 |
| NPI Enumeration Date: | 05/06/2015 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 11157 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |