Provider Demographics
NPI:1275671976
Name:MURPHY, LEAH (SLP)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5230 WILLOW CREEK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0876
Mailing Address - Country:US
Mailing Address - Phone:479-445-6800
Mailing Address - Fax:479-445-6816
Practice Address - Street 1:5230 WILLOW CREEK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-0876
Practice Address - Country:US
Practice Address - Phone:479-445-6800
Practice Address - Fax:479-445-6816
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP2418235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR161674721Medicaid