Provider Demographics
NPI:1912552126
Name:MURRAY, ELIZABETH ROSE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ROSE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MRS
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1 MILL RIDGE LN STE 103
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2490
Mailing Address - Country:US
Mailing Address - Phone:908-914-2624
Mailing Address - Fax:
Practice Address - Street 1:1 MILL RIDGE LN STE 103
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2490
Practice Address - Country:US
Practice Address - Phone:908-914-2624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist