Provider Demographics
NPI:1508188731
Name:MURPHY, REGINA S (MA)
Entity Type:Individual
Prefix:MS
First Name:REGINA
Middle Name:S
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 MOUNTAINVIEW
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05676
Mailing Address - Country:US
Mailing Address - Phone:802-244-5343
Mailing Address - Fax:
Practice Address - Street 1:204 MOUNTAINVIEW DR
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:VT
Practice Address - Zip Code:05676-9346
Practice Address - Country:US
Practice Address - Phone:802-244-5343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT047.0000638103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling