Healthcare Provider Details

I. General information

NPI: 1972285997
Provider Name (Legal Business Name): GERALDINE MURPHY PHD, L.E.P., CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GERI MURPHY

II. Dates (important events)

Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 MARIA LN STE 300
WALNUT CREEK CA
94596-5314
US

IV. Provider business mailing address

PO BOX 402
LAFAYETTE CA
94549-0402
US

V. Phone/Fax

Practice location:
  • Phone: 800-614-5101
  • Fax:
Mailing address:
  • Phone: 925-451-8442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number716
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: