MEDICARE: TARA MURPHY THERAPY

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

General Provider Information

NPI Number	:	1073144960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARA MURPHY THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 70671
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98127-0671
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6701 GREENWOOD AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-5225
Country	:	US
Telephone Number	:	206-357-3008
Fax Number	:	206-834-6006

Authorized Official
Title or Position	:	SOLE SHAREHOLDER, THERAPIST
Name	:	TARA MURPHY
Credential	:	MA. LMFT
Telephone Number	:	206-715-5618

Provider Enumeration Date	:	01/29/2020
Last Update Date	:	01/29/2020

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