Provider Demographics
NPI:1366684805
Name:MURRA, HOPE ELIZABETH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:HOPE
Middle Name:ELIZABETH
Last Name:MURRA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:HOPE
Other - Middle Name:ELIZABETH
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CF-SLP
Mailing Address - Street 1:1840 N PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-1975
Mailing Address - Country:US
Mailing Address - Phone:414-831-6804
Mailing Address - Fax:
Practice Address - Street 1:1840 N PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-1975
Practice Address - Country:US
Practice Address - Phone:414-831-6804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3082-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40252000Medicaid