Provider Demographics
NPI:1881192144
Name:MURPHY, MADELINE (MAED, MFT, PPS)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MAED, MFT, PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4034 ALCOTT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2135
Mailing Address - Country:US
Mailing Address - Phone:626-590-3694
Mailing Address - Fax:
Practice Address - Street 1:4034 ALCOTT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-2135
Practice Address - Country:US
Practice Address - Phone:626-590-3694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty