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NPI Code Detail

MEDICARE: DR. DIANE MARIE MURPHY LCSW, PH.D

MEDICARE: DR. DIANE MARIE MURPHY LCSW, PH.D
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
11041C0700XClinical Social WorkerR033412-1NY

General Provider Information

NPI Number : 1619028495
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANE MARIE MURPHY LCSW, PH.D
Provider Business Mailing Address
First Line : 223 KATONAH AVE
Second Line :
City : KATONAH
State : NY
Zip : 10536-2146
Country : US
Telephone Number : 914-232-4460
Fax Number : 914-232-1592
Provider Business Practice Location Address
First Line : 223 KATONAH AVE
Second Line :
City : KATONAH
State : NY
Zip : 10536-2146
Country : US
Telephone Number : 914-232-4460
Fax Number : 914-232-1592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 07/08/2007

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