Provider Demographics
NPI:1821088766
Name:MURPHY, BRIDGET SMITH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:SMITH
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 CARROLL CLOSE
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5216
Mailing Address - Country:US
Mailing Address - Phone:914-332-8813
Mailing Address - Fax:914-332-8813
Practice Address - Street 1:292 CARROLL CLOSE
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5216
Practice Address - Country:US
Practice Address - Phone:914-332-8813
Practice Address - Fax:914-332-8813
Is Sole Proprietor?:No
Enumeration Date:2005-10-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002753-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY002753-1OtherNY PROF. LICENSE-
00381012-2OtherASHA MEMBERSHIP/CERT.