Healthcare Provider Details

I. General information

NPI: 1992223291
Provider Name (Legal Business Name): HALEY GORDON MURPHY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HALEY MELISSA GORDON M.S.

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 09/05/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6615 E PACIFIC COAST HWY STE 255
LONG BEACH CA
90803-4227
US

IV. Provider business mailing address

5318 E 2ND ST # 889
LONG BEACH CA
90803-5324
US

V. Phone/Fax

Practice location:
  • Phone: 562-799-6700
  • Fax:
Mailing address:
  • Phone: 949-771-6560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY31276
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberPSY31276
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY31276
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: