Provider Demographics
NPI:1346434214
Name:MURRAY, BRIAN L I (PSY D, LPC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:L
Last Name:MURRAY
Suffix:I
Gender:M
Credentials:PSY D, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 GREEN OAK PL
Mailing Address - Street 2:STE 210
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2278
Mailing Address - Country:US
Mailing Address - Phone:281-358-3992
Mailing Address - Fax:832-553-7973
Practice Address - Street 1:1521 GREEN OAK PL
Practice Address - Street 2:STE 210
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2278
Practice Address - Country:US
Practice Address - Phone:281-358-3992
Practice Address - Fax:832-553-7973
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63119101YM0800X, 101YP2500X, 103TA0700X, 103TB0200X, 103TH0100X, 103TR0400X, 106H00000X
TX63911102L00000X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTS191Medicare PIN