MEDICARE: CLAIRE MURPHY M.ED, ED.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist	10235200	IN

General Provider Information

NPI Number	:	1386462935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE MURPHY M.ED, ED.S

Provider Business Mailing Address
First Line	:	PO BOX 508
Second Line	:
City	:	NEW PALESTINE
State	:	IN
Zip	:	46163-0508
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4485 S VICTORY DR
Second Line	:
City	:	NEW PALESTINE, IN 46163
State	:	IN
Zip	:	46163
Country	:	US
Telephone Number	:	317-861-4417
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2024
Last Update Date	:	10/02/2024

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