Provider Demographics
NPI:1144318114
Name:MURPHY, JANE W (MA, LMFT)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:W
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-4704
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:570 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057
Practice Address - Country:US
Practice Address - Phone:507-301-3412
Practice Address - Fax:507-301-3308
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1030106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN62-67130OtherUNITED BEHAVIORAL HEALTH
MNHP38597OtherHEALTH PARTNERS
MN143496OtherUCARE
MN172297200Medicaid
MN53M74MUOtherBLUE CROSS BLUE SHIELD