Provider Demographics
NPI:1841587532
Name:MURPHY, MARY E (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:E
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2639 MARTIN LUTHER KING JR DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44104-3808
Mailing Address - Country:US
Mailing Address - Phone:216-408-8887
Mailing Address - Fax:
Practice Address - Street 1:6611 ROCKSIDE RD
Practice Address - Street 2:SUITE 215
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-2365
Practice Address - Country:US
Practice Address - Phone:216-408-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0602001101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional