Provider Demographics
NPI:1558306522
Name:MURPHY, PATRICK M (MED CCCA FAAA)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MED CCCA FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 NORTH MAIN STREET
Mailing Address - Street 2:POST OFFICE BOX 1111
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-0037
Mailing Address - Country:US
Mailing Address - Phone:215-230-9000
Mailing Address - Fax:215-230-9026
Practice Address - Street 1:330 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-0037
Practice Address - Country:US
Practice Address - Phone:215-230-9000
Practice Address - Fax:215-230-9026
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2016-08-25
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-28
Provider Licenses
StateLicense IDTaxonomies
PAAT-000503-L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0426386000OtherKEYSTONE HEALTH PLAN EAST
PA1033498OtherKEYSTONE FIRST
PA0426386000OtherKEYSTONE 65
PA4356720OtherAETNA
PA68541OtherAETNA
PAP3920527OtherCIGNA
PAP3920527OtherOXFORD
PAP3920527OtherOXFORD
MU214073Medicare PIN