Provider Demographics
NPI:1508996869
Name:MURPHY, MARY ANNE (PHD)
Entity Type:Individual
Prefix:
First Name:MARY ANNE
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:838 WESTERN AVE
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15233-1716
Mailing Address - Country:US
Mailing Address - Phone:412-321-1772
Mailing Address - Fax:
Practice Address - Street 1:838 WESTERN AVE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15233-1716
Practice Address - Country:US
Practice Address - Phone:412-321-1772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002492L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist