Healthcare Provider Details

I. General information

NPI: 1447335674
Provider Name (Legal Business Name): SUZANNE A. MURPHY DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81A HALLS RD
OLD LYME CT
06371-4420
US

IV. Provider business mailing address

9 COVE RD
LYME CT
06371-3402
US

V. Phone/Fax

Practice location:
  • Phone: 860-390-6745
  • Fax: 860-751-1398
Mailing address:
  • Phone: 860-390-6745
  • Fax: 860-751-1398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number001938
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: