Provider Demographics
NPI:1033728597
Name:MURPHY, AMY J (MED, LADC I)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MED, LADC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 TOWN WAY
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-4327
Mailing Address - Country:US
Mailing Address - Phone:617-413-5083
Mailing Address - Fax:
Practice Address - Street 1:6 TOWN WAY
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-4327
Practice Address - Country:US
Practice Address - Phone:617-413-5083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA23046101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)