Provider Demographics
NPI:1083751515
Name:MURVIN, GARY L (LCSW)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:L
Last Name:MURVIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 COUNTY ROAD 3340
Mailing Address - Street 2:
Mailing Address - City:KEMPNER
Mailing Address - State:TX
Mailing Address - Zip Code:76539-8742
Mailing Address - Country:US
Mailing Address - Phone:512-932-2287
Mailing Address - Fax:
Practice Address - Street 1:357 COUNTY ROAD 3340
Practice Address - Street 2:
Practice Address - City:KEMPNER
Practice Address - State:TX
Practice Address - Zip Code:76539-8742
Practice Address - Country:US
Practice Address - Phone:512-932-2287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC001365104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker