Provider Demographics
NPI:1023495934
Name:MURPHY, PATTI (JD, QMHA)
Entity type:Individual
Prefix:MRS
First Name:PATTI
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:JD, QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 730
Mailing Address - Street 2:
Mailing Address - City:SILETZ
Mailing Address - State:OR
Mailing Address - Zip Code:97380-0730
Mailing Address - Country:US
Mailing Address - Phone:541-444-2014
Mailing Address - Fax:
Practice Address - Street 1:1901 CARNEGIE AVE
Practice Address - Street 2:SUITE 1C
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-5504
Practice Address - Country:US
Practice Address - Phone:541-272-7128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker