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NPI Code Detail

MEDICARE: GREGORY MICHAEL MURPHY PH.D.

MEDICARE: GREGORY MICHAEL MURPHY PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist0810004231VA

General Provider Information

NPI Number : 1003031865
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY MICHAEL MURPHY PH.D.
Provider Business Mailing Address
First Line : 20925 PROFESSIONAL PLZ STE 230
Second Line :
City : ASHBURN
State : VA
Zip : 20147-3403
Country : US
Telephone Number : 703-621-7121
Fax Number : 703-655-7686
Provider Business Practice Location Address
First Line : 199 LIBERTY ST SW
Second Line :
City : LEESBURG
State : VA
Zip : 20175-2715
Country : US
Telephone Number : 703-621-7121
Fax Number : 703-665-7686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 06/05/2019

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