MEDICARE: DAWN 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	101YP2500X	Professional Counselor	37PC01003500	NJ

General Provider Information

NPI Number	:	1336990167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN MURPHY

Provider Business Mailing Address
First Line	:	PO BOX 2036
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-8036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 NJ-88
Second Line	:
City	:	BRICK TOWNSHIP
State	:	NJ
Zip	:	08724
Country	:	US
Telephone Number	:	732-367-4700
Fax Number	:

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

Provider Enumeration Date	:	03/29/2024
Last Update Date	:	03/29/2024

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