Provider Demographics
NPI:1245589688
Name:MURPHY, TARA GREER (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:TARA
Middle Name:GREER
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:PO BOX 70671
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98127-0671
Mailing Address - Country:US
Mailing Address - Phone:206-357-3008
Mailing Address - Fax:
Practice Address - Street 1:5308 BALLARD AVE NW
Practice Address - Street 2:SUITE 15
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4006
Practice Address - Country:US
Practice Address - Phone:206-357-3008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60495876106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist