Provider Demographics
NPI:1568535565
Name:LANDRY- MURPHY INC
Entity Type:Organization
Organization Name:LANDRY- MURPHY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:LANDRY-MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-258-0306
Mailing Address - Street 1:30 SUNDOWN TRAIL
Mailing Address - Street 2:PO BOX 1463
Mailing Address - City:NEDERLAND
Mailing Address - State:CO
Mailing Address - Zip Code:80466-1463
Mailing Address - Country:US
Mailing Address - Phone:303-258-0298
Mailing Address - Fax:303-258-0298
Practice Address - Street 1:30 SUNDOWN TRAIL
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:CO
Practice Address - Zip Code:80466-1463
Practice Address - Country:US
Practice Address - Phone:303-258-0298
Practice Address - Fax:303-258-0298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO67158030Medicaid