Provider Demographics
NPI:1619965605
Name:MURPHY, CAROLE F (PHD)
Entity Type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:F
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MEDICAL ARTS BLDG
Mailing Address - Street 2:STE 240
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-7132
Mailing Address - Country:US
Mailing Address - Phone:724-543-1043
Mailing Address - Fax:724-545-1857
Practice Address - Street 1:200 MEDICAL ARTS BLDG
Practice Address - Street 2:STE 240
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7132
Practice Address - Country:US
Practice Address - Phone:724-543-1043
Practice Address - Fax:724-545-1857
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS000548L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000109396OtherHIGHMARK BLUES
PA001575059000Medicaid
PA001575059000Medicaid
109396KWKMedicare ID - Type Unspecified