Provider Demographics
NPI:1376901975
Name:MURPHY, CODIE
Entity Type:Individual
Prefix:
First Name:CODIE
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5220 S ULSTER ST
Mailing Address - Street 2:#2203
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2962
Mailing Address - Country:US
Mailing Address - Phone:307-751-5432
Mailing Address - Fax:
Practice Address - Street 1:5220 S ULSTER ST
Practice Address - Street 2:#2203
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2962
Practice Address - Country:US
Practice Address - Phone:307-751-5432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health