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NPI Code Detail

MEDICARE: MRS. JANEANE M MURPHY MA, CCC-A

MEDICARE:  MRS. JANEANE M MURPHY  MA, CCC-A
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
1231H00000XAudiologist23002016AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000091357OTHERINANTHEM PROVIDER ID

General Provider Information

NPI Number : 1750384905
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANEANE M MURPHY MA, CCC-A
Provider Business Mailing Address
First Line : 200 W MAIN ST
Second Line :
City : CRAWFORDSVILLE
State : IN
Zip : 47933-1615
Country : US
Telephone Number : 765-364-0861
Fax Number : 765-364-0869
Provider Business Practice Location Address
First Line : 200 W MAIN ST
Second Line :
City : CRAWFORDSVILLE
State : IN
Zip : 47933-1615
Country : US
Telephone Number : 765-364-0861
Fax Number : 765-364-0869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 08/05/2015

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Directions to “ MRS. JANEANE M MURPHY MA, CCC-A” Practice Location

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