MEDICARE: MELISSA ANNE 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
1	103TF0200X	Forensic Psychologist

General Provider Information

NPI Number	:	1114214368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ANNE MURPHY

Provider Business Mailing Address
First Line	:	1440 BROADWAY
Second Line	:	SUITE 610
City	:	OAKLAND
State	:	CA
Zip	:	94612-2041
Country	:	US
Telephone Number	:	415-483-2024
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 BROADWAY
Second Line	:	SUITE 610
City	:	OAKLAND
State	:	CA
Zip	:	94612-2041
Country	:	US
Telephone Number	:	415-483-2024
Fax Number	:

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

Provider Enumeration Date	:	07/07/2011
Last Update Date	:	08/01/2013

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Directions to “ MELISSA ANNE MURPHY ” Practice Location

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