Provider Demographics
NPI:1003466632
Name:MURPHY, MIRANDA
Entity Type:Individual
Prefix:
First Name:MIRANDA
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 SCENIC VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LEMONT FRNC
Mailing Address - State:PA
Mailing Address - Zip Code:15456-1334
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:520 SCENIC VIEW DR
Practice Address - Street 2:
Practice Address - City:LEMONT FRNC
Practice Address - State:PA
Practice Address - Zip Code:15456-1334
Practice Address - Country:US
Practice Address - Phone:724-963-7558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist