Provider Demographics
NPI:1760674493
Name:MURRAY CHILD PSYCHOLOGICAL SERVICES, INC.
Entity Type:Organization
Organization Name:MURRAY CHILD PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, SSP
Authorized Official - Phone:704-455-2213
Mailing Address - Street 1:4351 MAIN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-7427
Mailing Address - Country:US
Mailing Address - Phone:704-455-2213
Mailing Address - Fax:704-455-2246
Practice Address - Street 1:4351 MAIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-7427
Practice Address - Country:US
Practice Address - Phone:704-455-2213
Practice Address - Fax:704-455-2246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2229251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health