Healthcare Provider Details

I. General information

NPI: 1154230639
Provider Name (Legal Business Name): MAGGIE JO MURPHY SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1493 CAMBRIDGE ST
CAMBRIDGE MA
02139-1099
US

IV. Provider business mailing address

35 PEARSON RD APT 2
SOMERVILLE MA
02144-1316
US

V. Phone/Fax

Practice location:
  • Phone: 651-262-8042
  • Fax:
Mailing address:
  • Phone: 651-262-8042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP102043
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: