MEDICARE: DR. CASEY PATRICK MURPHY ED 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
1	103T00000X	Psychologist	1631	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1871584326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CASEY PATRICK MURPHY ED D

Provider Business Mailing Address
First Line	:	10000 N 31ST AVE
Second Line	:	A-105
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9582
Country	:	US
Telephone Number	:	602-843-0000
Fax Number	:	602-997-1305

Provider Business Practice Location Address
First Line	:	10000 N 31ST AVE
Second Line	:	A-105
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9582
Country	:	US
Telephone Number	:	602-843-0000
Fax Number	:	602-997-1305

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	05/06/2009

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