MEDICARE: MS. CHRISTINA ANTONIA MURPHY MFT

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
1	106H00000X	Marriage & Family Therapist	45863	CA

General Provider Information

NPI Number	:	1023142114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINA ANTONIA MURPHY MFT

Provider Business Mailing Address
First Line	:	PO BOX 5023
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89513-5023
Country	:	US
Telephone Number	:	530-265-2131
Fax Number	:

Provider Business Practice Location Address
First Line	:	421 W PLUMB LN STE A3
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-3766
Country	:	US
Telephone Number	:	530-265-2131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	08/17/2022

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