Provider Demographics
NPI:1407066293
Name:MURPHY, HARRY BURTON (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:BURTON
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 C CRAIN HWY SE
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061
Mailing Address - Country:US
Mailing Address - Phone:410-761-8708
Mailing Address - Fax:410-761-2474
Practice Address - Street 1:301 C CRAIN HWY SE
Practice Address - Street 2:FOUNDATION FOR FAMILIES COUNSELING
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061
Practice Address - Country:US
Practice Address - Phone:410-761-8708
Practice Address - Fax:410-761-2474
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01048103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical