Provider Demographics
NPI:1760790679
Name:MURPHY, JESSICA (MPS, ATR-BC, LPC)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MPS, ATR-BC, LPC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:ANN
Other - Last Name:SOMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 ELMENDORF ST APT 2
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-3580
Mailing Address - Country:US
Mailing Address - Phone:412-657-1528
Mailing Address - Fax:
Practice Address - Street 1:130 ELMENDORF ST APT 2
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3580
Practice Address - Country:US
Practice Address - Phone:412-657-1528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005322101YP2500X
AZLPC-18497101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional