Doctor Name: | MRS. MICHELLE MURPHY |
NPI Number: | 1710141536 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 180.004375 |
Business Practice Address: | 12 Gunia Dr La Salle, IL - 613019768 |
Business Phone Number: | 8154333953 |
Business Fax Number: | 8154333980 |
Mailing Address: | 424 W Madison St, OTTAWA |
State: | IL |
Postal Code: | 613502833 |
Phone Number: | 8154333953 |
Fax Number: | 8154333980 |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180.004375 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |