Provider Demographics
NPI:1821070988
Name:MURPHY, DAVID TODD (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:TODD
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2952 STEVENS ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-2022
Mailing Address - Country:US
Mailing Address - Phone:516-897-9261
Mailing Address - Fax:516-608-0226
Practice Address - Street 1:2952 STEVENS ST
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-2022
Practice Address - Country:US
Practice Address - Phone:516-897-9261
Practice Address - Fax:516-608-0226
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-15
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011851103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical