MEDICARE: MS. MARGARET MURPHY M.ED.

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	103T00000X	Psychologist	PS-008019-L	PA

General Provider Information

NPI Number	:	1407930860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET MURPHY M.ED.

Provider Business Mailing Address
First Line	:	620 E WILLOW GROVE AVE
Second Line	:
City	:	WYNDMOOR
State	:	PA
Zip	:	19038-7949
Country	:	US
Telephone Number	:	215-233-3522
Fax Number	:	215-233-4404

Provider Business Practice Location Address
First Line	:	620 E WILLOW GROVE AVE
Second Line	:
City	:	WYNDMOOR
State	:	PA
Zip	:	19038-7949
Country	:	US
Telephone Number	:	215-233-3522
Fax Number	:	215-233-4404

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	07/08/2007

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