Provider Demographics
NPI:1205561412
Name:MURPHY, ELLIE ANNE (CF-SLP)
Entity type:Individual
Prefix:
First Name:ELLIE
Middle Name:ANNE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 QUARRY LOOP RD
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-7206
Mailing Address - Country:US
Mailing Address - Phone:615-443-4445
Mailing Address - Fax:615-443-4448
Practice Address - Street 1:368 QUARRY LOOP RD
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-7206
Practice Address - Country:US
Practice Address - Phone:615-443-4445
Practice Address - Fax:615-443-4448
Is Sole Proprietor?:No
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist