NPI Code Details Logo

NPI 1740407212

NPI 1740407212 : MALINDA A MURPHY LMHC : ALTAMONT, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1740407212
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MALINDA A MURPHY LMHC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/19/2007
-----------------------------------------------------
    Last Update Date     |    12/13/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2498 WESTERN AVE 
-----------------------------------------------------
    City                 |    ALTAMONT
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    12009-9483
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    518-878-0305
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1293 HELDERBERG TRL 
-----------------------------------------------------
    City                 |    BERNE
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    12023-2912
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    518-878-0305
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    004325
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.