Provider Demographics
NPI:1184486631
Name:MURPHY, ELAINE MICHELLE (MS, AMFT)
Entity type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:MICHELLE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MS, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8551 CYPRESS PT
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-1610
Mailing Address - Country:US
Mailing Address - Phone:714-944-9488
Mailing Address - Fax:
Practice Address - Street 1:265 S RANDOLPH AVE STE 100
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5791
Practice Address - Country:US
Practice Address - Phone:909-279-1741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA144428106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist