MEDICARE: DR. JOHN BERNARD MURPHY M.A., 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	101Y00000X	Counselor	0701003821	VA

General Provider Information

NPI Number	:	1871718734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN BERNARD MURPHY M.A., PH.D.

Provider Business Mailing Address
First Line	:	622 S LEE ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-3820
Country	:	US
Telephone Number	:	703-836-3877
Fax Number	:	703-836-0667

Provider Business Practice Location Address
First Line	:	3331 DUKE ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4597
Country	:	US
Telephone Number	:	703-328-3737
Fax Number	:	703-836-0667

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

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	07/08/2007

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