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NPI Code Detail

MEDICARE: CHRISTINA MURPHY

MEDICARE: CHRISTINA MURPHY
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
1101YP2500XProfessional Counselor3855-125WI
2103K00000XBehavior Analyst223-140WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13855-125OTHERWIPROFESSIONAL COUNSELOR LISCENCE
2223-140OTHERWIBCBA LICENSE

General Provider Information

NPI Number : 1003207200
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MURPHY
Provider Business Mailing Address
First Line : 320 N ELMRIDGE AVE
Second Line :
City : BROOKFIELD
State : WI
Zip : 53005-6117
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 559 ZOR SHRINE PL
Second Line :
City : MADISON
State : WI
Zip : 53719-2068
Country : US
Telephone Number : 608-833-0123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2015
Last Update Date : 01/14/2019

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Directions to “ CHRISTINA MURPHY ” Practice Location

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