Provider Demographics
NPI:1407538069
Name:MURRAY, MATTHEW BACHRACH (NCC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:BACHRACH
Last Name:MURRAY
Suffix:
Gender:M
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5304 C ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6322
Mailing Address - Country:US
Mailing Address - Phone:202-277-9061
Mailing Address - Fax:
Practice Address - Street 1:4530 MACARTHUR BLVD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-4202
Practice Address - Country:US
Practice Address - Phone:202-299-5506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health