Provider Demographics
NPI:1285850388
Name:MURPHY, JAMES B (PHD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 W. 33RD STREET
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-1312
Mailing Address - Country:US
Mailing Address - Phone:512-731-6119
Mailing Address - Fax:512-288-2421
Practice Address - Street 1:1903 W 33RD ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-1312
Practice Address - Country:US
Practice Address - Phone:512-731-6119
Practice Address - Fax:512-288-2421
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21853103TP0814X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00T19LMedicare PIN