Provider Demographics
NPI:1710233655
Name:MURPHY-CAROSI, DONNA ANN (MED, LPC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:ANN
Last Name:MURPHY-CAROSI
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:SALIX
Mailing Address - State:PA
Mailing Address - Zip Code:15952-9432
Mailing Address - Country:US
Mailing Address - Phone:814-487-4124
Mailing Address - Fax:
Practice Address - Street 1:149 HICKORY DR
Practice Address - Street 2:
Practice Address - City:SALIX
Practice Address - State:PA
Practice Address - Zip Code:15952-9432
Practice Address - Country:US
Practice Address - Phone:814-487-4124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002573101YP2500X
PA101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool