Provider Demographics
NPI:1205167848
Name:MURPHREY, EMILY REBECCA BROWN (MA, JD, LPC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:REBECCA BROWN
Last Name:MURPHREY
Suffix:
Gender:F
Credentials:MA, JD, LPC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:REBECCA
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, JD
Mailing Address - Street 1:3349 FREMONT AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-3544
Mailing Address - Country:US
Mailing Address - Phone:612-801-8262
Mailing Address - Fax:
Practice Address - Street 1:3349 FREMONT AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-3544
Practice Address - Country:US
Practice Address - Phone:612-801-8262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLPC00850101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional