Provider Demographics
NPI:1831477769
Name:MURPHY, LINDA DIAZ (LPC, LCADC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:DIAZ
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 PARK PL
Mailing Address - Street 2:
Mailing Address - City:BOGOTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07603-1014
Mailing Address - Country:US
Mailing Address - Phone:201-320-9907
Mailing Address - Fax:
Practice Address - Street 1:119 PARK PL
Practice Address - Street 2:
Practice Address - City:BOGOTA
Practice Address - State:NJ
Practice Address - Zip Code:07603-1014
Practice Address - Country:US
Practice Address - Phone:201-320-9907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00422100101Y00000X
NJ37LC00119000101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)