Healthcare Provider Details

I. General information

NPI: 1568770006
Provider Name (Legal Business Name): BETH L MURPHY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2010
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 60
NORTH BEND WA
98045-0060
US

IV. Provider business mailing address

PO BOX 60
NORTH BEND WA
98045-0060
US

V. Phone/Fax

Practice location:
  • Phone: 425-281-7977
  • Fax:
Mailing address:
  • Phone: 425-281-7977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY60275037
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY60275037
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: