Healthcare Provider Details

I. General information

NPI: 1467662296
Provider Name (Legal Business Name): MAUREEN ANNE MURPHY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 FILLMORE ST
SAN FRANCISCO CA
94115-2222
US

IV. Provider business mailing address

2202 FILLMORE ST
SAN FRANCISCO CA
94115-2222
US

V. Phone/Fax

Practice location:
  • Phone: 415-922-4013
  • Fax:
Mailing address:
  • Phone: 415-922-4013
  • Fax: 415-771-1636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberPSY5302
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: