Provider Demographics
NPI:1508096173
Name:MURPHY, NICOLE (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CEDAR DR
Mailing Address - Street 2:RHINEBECK
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1004
Mailing Address - Country:US
Mailing Address - Phone:845-876-4313
Mailing Address - Fax:
Practice Address - Street 1:9 CEDAR DR
Practice Address - Street 2:RHINEBECK
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1004
Practice Address - Country:US
Practice Address - Phone:845-876-4313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY58018636235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist