Provider Demographics
NPI:1083728646
Name:MURRAY, PATRICK J (PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:J
Last Name:MURRAY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 MAIN ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-2646
Mailing Address - Country:US
Mailing Address - Phone:816-756-3505
Mailing Address - Fax:816-756-3058
Practice Address - Street 1:4901 MAIN ST
Practice Address - Street 2:SUITE 310
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-2646
Practice Address - Country:US
Practice Address - Phone:816-756-3505
Practice Address - Fax:816-756-3058
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000D445Medicare ID - Type Unspecified