Provider Demographics
NPI:1518031244
Name:MURPHEY, ELIZABETH JOANN (PHD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JOANN
Last Name:MURPHEY
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 1:1202 W BITTERS RD
Mailing Address - Street 2:BLDG. 3
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-7851
Mailing Address - Country:US
Mailing Address - Phone:210-495-0221
Mailing Address - Fax:210-495-0583
Practice Address - Street 1:1202 W BITTERS RD
Practice Address - Street 2:BLDG. 3
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7851
Practice Address - Country:US
Practice Address - Phone:210-495-0221
Practice Address - Fax:210-495-0583
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22934103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00QH85Medicare UPIN