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NPI Code Detail

MEDICARE: MEREDITH CHATTMAN MURPHY PH.D.

MEDICARE: MEREDITH CHATTMAN MURPHY PH.D.
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
1103TC0700XClinical PsychologistPSY 24473CA

General Provider Information

NPI Number : 1720234933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH CHATTMAN MURPHY PH.D.
Provider Business Mailing Address
First Line : 2904 ROWENA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90039-2042
Country : US
Telephone Number : 323-636-2466
Fax Number :
Provider Business Practice Location Address
First Line : 2904 ROWENA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90039-2042
Country : US
Telephone Number : 323-636-2466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2008
Last Update Date : 07/23/2012

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