Provider Demographics
NPI:1730289950
Name:MURRAY, JUDITH (LISW)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 W CREEK RD
Mailing Address - Street 2:SUITE 20
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2139
Mailing Address - Country:US
Mailing Address - Phone:216-986-1170
Mailing Address - Fax:216-986-1016
Practice Address - Street 1:2305 E AURORA RD
Practice Address - Street 2:SUITE 12A
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1940
Practice Address - Country:US
Practice Address - Phone:216-986-1170
Practice Address - Fax:216-986-1016
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-97151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical