Provider Demographics
NPI:1952033540
Name:MURPH, WILLIAM LARRY
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:LARRY
Last Name:MURPH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14337 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-3401
Mailing Address - Country:US
Mailing Address - Phone:216-230-9219
Mailing Address - Fax:216-761-5832
Practice Address - Street 1:14337 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-3401
Practice Address - Country:US
Practice Address - Phone:216-230-9219
Practice Address - Fax:216-761-5832
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator