Provider Demographics
NPI:1316038219
Name:MURPHY, THOMAS JOHN (PHD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JOHN
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:5TH AVENUE & ROOSEVELT
Mailing Address - Street 2:HINES VA HOSP., PSYCHOLOGY SERVICE 116B
Mailing Address - City:HINES
Mailing Address - State:IL
Mailing Address - Zip Code:60141
Mailing Address - Country:US
Mailing Address - Phone:708-202-2473
Mailing Address - Fax:708-202-2024
Practice Address - Street 1:5TH AVENUE & ROOSEVELT
Practice Address - Street 2:HINES VA HOSP., PSYCHOLOGY SERVICE 116B
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-2473
Practice Address - Fax:708-202-2024
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL72-1892103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist