Provider Demographics
NPI:1356457451
Name:MURPHY, DOUGLAS CRIAG (MA, LCPC, LCMFT)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:CRIAG
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MA, LCPC, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3606 CROSSLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-1007
Mailing Address - Country:US
Mailing Address - Phone:410-235-4346
Mailing Address - Fax:410-296-6108
Practice Address - Street 1:408 ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4252
Practice Address - Country:US
Practice Address - Phone:410-296-6108
Practice Address - Fax:410-296-6109
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM120106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist