Provider Demographics
NPI:1922338706
Name:MURPH, JULIA S
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:S
Last Name:MURPH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HARDEEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29927-9027
Mailing Address - Country:US
Mailing Address - Phone:843-384-6001
Mailing Address - Fax:
Practice Address - Street 1:351 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:HARDEEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29927-9027
Practice Address - Country:US
Practice Address - Phone:843-384-6001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-30
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP005071235Z00000X
SC3119235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA904162394BMedicaid