Provider Demographics
NPI:1568770006
Name:MURPHY, BETH L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:L
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 114TH AVE SE STE 240
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6906
Mailing Address - Country:US
Mailing Address - Phone:425-281-7977
Mailing Address - Fax:
Practice Address - Street 1:1715 114TH AVE SE STE 240
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6906
Practice Address - Country:US
Practice Address - Phone:425-281-7977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60275037103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist