Provider Demographics
NPI:1558689117
Name:MURDOCH, WILLIAM RYAN (MA, LPCA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RYAN
Last Name:MURDOCH
Suffix:
Gender:M
Credentials:MA, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2752 CAMPUS WALK AVE
Mailing Address - Street 2:APT. 26A
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-8863
Mailing Address - Country:US
Mailing Address - Phone:978-491-9868
Mailing Address - Fax:
Practice Address - Street 1:2752 CAMPUS WALK AVE
Practice Address - Street 2:APT. 26A
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-8863
Practice Address - Country:US
Practice Address - Phone:978-491-9868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11922101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional