Healthcare Provider Details

I. General information

NPI: 1427531581
Provider Name (Legal Business Name): BRIEANN MURRAY B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2018
Last Update Date: 09/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 DELAWARE AVE
FOUNTAIN HILL PA
18015-1174
US

IV. Provider business mailing address

42 DAMASCUS DR
BLANDON PA
19510-9761
US

V. Phone/Fax

Practice location:
  • Phone: 610-419-3101
  • Fax:
Mailing address:
  • Phone: 610-763-3961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: