Provider Demographics
NPI:1063834679
Name:MURPHY-RUHLIG, PATRICIA A (LMSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:MURPHY-RUHLIG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 NELSON RD
Mailing Address - Street 2:STE 2
Mailing Address - City:LUDINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:49431-1993
Mailing Address - Country:US
Mailing Address - Phone:231-425-4414
Mailing Address - Fax:231-425-4434
Practice Address - Street 1:250 NELSON RD
Practice Address - Street 2:STE 2
Practice Address - City:LUDINGTON
Practice Address - State:MI
Practice Address - Zip Code:49431-1993
Practice Address - Country:US
Practice Address - Phone:231-425-4414
Practice Address - Fax:231-425-4434
Is Sole Proprietor?:No
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801086569104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker