Healthcare Provider Details

I. General information

NPI: 1932158268
Provider Name (Legal Business Name): EMILY P MURPHEY M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 TOWNE AVE
PLAINFIELD VT
05667-9425
US

IV. Provider business mailing address

PO BOX 320
PLAINFIELD VT
05667-0320
US

V. Phone/Fax

Practice location:
  • Phone: 802-454-8336
  • Fax: 802-454-8339
Mailing address:
  • Phone: 802-454-8336
  • Fax: 802-454-8339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number0470000573
License Number StateVT

VII. Legacy identifiers

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

# 1
Identifier047-0000573
Identifier TypeOTHER
Identifier StateVT
Identifier IssuerLICENSE
# 2
Identifier1004058
Identifier TypeMEDICAID
Identifier StateVT
Identifier Issuer
# 3
Identifier18781
Identifier TypeOTHER
Identifier StateVT
Identifier IssuerFIVE RIVERS
# 4
Identifier18781
Identifier TypeOTHER
Identifier StateVT
Identifier IssuerBLUE CROSS BLUE SHIELD
# 5
Identifier45258
Identifier TypeOTHER
Identifier StateVT
Identifier IssuerMAGELLAN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: