Healthcare Provider Details

I. General information

NPI: 1144883539
Provider Name (Legal Business Name): BARBARA LYNN MURPHY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2019
Last Update Date: 04/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3635 BEVER AVE SE
CEDAR RAPIDS IA
52403-4330
US

IV. Provider business mailing address

3635 BEVER AVE SE
CEDAR RAPIDS IA
52403-4330
US

V. Phone/Fax

Practice location:
  • Phone: 319-362-5859
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00064
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: