Healthcare Provider Details

I. General information

NPI: 1326139429
Provider Name (Legal Business Name): DAVID DAGG-MURRY PCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3048 COLUMBUS LANCASTER RD NW
LANCASTER OH
43130-8125
US

IV. Provider business mailing address

3048 COLUMBUS LANCASTER RD NW
LANCASTER OH
43130-8125
US

V. Phone/Fax

Practice location:
  • Phone: 740-652-5652
  • Fax: 740-422-1548
Mailing address:
  • Phone: 740-652-5652
  • Fax: 740-422-1548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE3699
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: