Provider Demographics
NPI:1346244142
Name:MURPHY, KEVEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:KEVEN
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 GRANVILLE ROAD
Mailing Address - Street 2:P. O. BOX 216
Mailing Address - City:NORTH GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06060-0216
Mailing Address - Country:US
Mailing Address - Phone:860-653-4838
Mailing Address - Fax:860-653-4838
Practice Address - Street 1:188 GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:NORTH GRANBY
Practice Address - State:CT
Practice Address - Zip Code:06060-1301
Practice Address - Country:US
Practice Address - Phone:860-653-4838
Practice Address - Fax:860-653-4838
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1058103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1346244142OtherCIGNA
CT1346244142OtherUNITED BEHAVIORAL HEALTH
CT1346244142OtherDEPARTMENT OF REHABILITATION SERVICES - BUREAU OF REHABILITATION SERVICES
CT1346244142OtherVALUE OPTIONS
CT1346244142OtherAETNA
CT1346244142OtherCONNECTICARE
CT060001058CT01OtherANTHEM BCBS
CT1346244142OtherUNITEDHEALTHCARE
CT1346244142OtherAETNA