Provider Demographics
NPI:1124191408
Name:MURPHY, GLENN TERRENCE (LPC)
Entity Type:Individual
Prefix:MR
First Name:GLENN
Middle Name:TERRENCE
Last Name:MURPHY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 KING GEORGE RD
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2809
Mailing Address - Country:US
Mailing Address - Phone:908-647-5940
Mailing Address - Fax:908-766-6158
Practice Address - Street 1:2 N FINLEY AVE
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1157
Practice Address - Country:US
Practice Address - Phone:908-249-3159
Practice Address - Fax:908-766-6158
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00025900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional