Provider Demographics
NPI:1801821822
Name:MURPHY, KATHLEEN J (PHD)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 HARTFORD PIKE STE 6
Mailing Address - Street 2:
Mailing Address - City:DAYVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06241-2151
Mailing Address - Country:US
Mailing Address - Phone:860-779-7767
Mailing Address - Fax:
Practice Address - Street 1:559 HARTFORD PIKE STE 6
Practice Address - Street 2:
Practice Address - City:DAYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06241-2151
Practice Address - Country:US
Practice Address - Phone:860-779-7767
Practice Address - Fax:860-779-7767
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002307103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist