Provider Demographics
NPI:1780843433
Name:MURPHY, MOLLY ANN (MA, DI)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:ANN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MA, DI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3083 BARONS COVE DR
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41017-8132
Mailing Address - Country:US
Mailing Address - Phone:859-426-1756
Mailing Address - Fax:859-426-1756
Practice Address - Street 1:3083 BARONS COVE DR
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:KY
Practice Address - Zip Code:41017-8132
Practice Address - Country:US
Practice Address - Phone:859-426-1756
Practice Address - Fax:859-426-1756
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-07
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY222Q0000X222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist