Provider Demographics
NPI:1245003151
Name:MURPHY JOHNSON, STEPHANIE J
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:J
Last Name:MURPHY JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:J
Other - Last Name:MURPHY JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 BRIAN DR
Mailing Address - Street 2:
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-2307
Mailing Address - Country:US
Mailing Address - Phone:631-275-0829
Mailing Address - Fax:
Practice Address - Street 1:20 BRIAN DR
Practice Address - Street 2:
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-2307
Practice Address - Country:US
Practice Address - Phone:631-275-0829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst