Provider Demographics
NPI:1518658566
Name:MURNEY, BRENDAN TIMOTHY
Entity Type:Individual
Prefix:
First Name:BRENDAN
Middle Name:TIMOTHY
Last Name:MURNEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12901 S GOLFVIEW LN
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-2214
Mailing Address - Country:US
Mailing Address - Phone:708-305-3578
Mailing Address - Fax:
Practice Address - Street 1:3301 W 111TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60655-2715
Practice Address - Country:US
Practice Address - Phone:312-469-0486
Practice Address - Fax:773-233-6111
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health