MEDICARE: PHILIP E MURPHY 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
1	103TC0700X	Clinical Psychologist	P1402	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689781015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP E MURPHY PH.D.

Provider Business Mailing Address
First Line	:	5279 SYCAMORE GROVE LN
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-2241
Country	:	US
Telephone Number	:	901-854-8707
Fax Number	:

Provider Business Practice Location Address
First Line	:	3238 PLAYERS CLUB CIR
Second Line	:	SUITE 65
City	:	MEMPHIS
State	:	TN
Zip	:	38125-8843
Country	:	US
Telephone Number	:	800-632-6074
Fax Number	:

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	07/09/2007

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