Provider Demographics
NPI:1740560283
Name:O'BOYLE, MARISA MURPHY (EDM, PHD)
Entity Type:Individual
Prefix:MRS
First Name:MARISA
Middle Name:MURPHY
Last Name:O'BOYLE
Suffix:
Gender:F
Credentials:EDM, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 EDGEHILL RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7722
Mailing Address - Country:US
Mailing Address - Phone:617-777-1270
Mailing Address - Fax:617-307-4052
Practice Address - Street 1:26 EDGEHILL RD
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7722
Practice Address - Country:US
Practice Address - Phone:617-777-1270
Practice Address - Fax:617-307-4052
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program