Provider Demographics
NPI:1023566957
Name:EMILY BROWN MURPHREY PSYD LP PLLC
Entity Type:Organization
Organization Name:EMILY BROWN MURPHREY PSYD LP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:REBECCA BROWN
Authorized Official - Last Name:MURPHREY
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:612-801-8262
Mailing Address - Street 1:4749 CHICAGO AVE
Mailing Address - Street 2:STE 1C
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-3556
Mailing Address - Country:US
Mailing Address - Phone:612-801-8262
Mailing Address - Fax:
Practice Address - Street 1:4749 CHICAGO AVE
Practice Address - Street 2:STE 1C
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-3556
Practice Address - Country:US
Practice Address - Phone:612-801-8262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5848302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization