Healthcare Provider Details

I. General information

NPI: 1356458590
Provider Name (Legal Business Name): SHERRI L MURRY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 07/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 NE 13TH ST PSYCHOLOGY/183
OKLAHOMA CITY OK
73104-5007
US

IV. Provider business mailing address

921 NE 13TH ST PSYCHOLOGY/183J
OKLAHOMA CITY OK
73104-5007
US

V. Phone/Fax

Practice location:
  • Phone: 405-456-2867
  • Fax: 405-456-5963
Mailing address:
  • Phone: 405-456-2867
  • Fax: 405-456-5963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number948
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: