Provider Demographics
NPI:1851037287
Name:MURPHY, DESHEILA MONIQUE (HEALER)
Entity Type:Individual
Prefix:
First Name:DESHEILA
Middle Name:MONIQUE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:HEALER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2527 S GARFIELD PL
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-6115
Mailing Address - Country:US
Mailing Address - Phone:190-976-6482
Mailing Address - Fax:
Practice Address - Street 1:2527 S GARFIELD PL
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-6115
Practice Address - Country:US
Practice Address - Phone:190-976-6482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-09
Last Update Date:2022-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4861066101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty