Provider Demographics
NPI:1255476081
Name:MURRAY, LINDLEY III (PHD)
Entity type:Individual
Prefix:DR
First Name:LINDLEY
Middle Name:
Last Name:MURRAY
Suffix:III
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 BELCOURT AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3503
Mailing Address - Country:US
Mailing Address - Phone:615-269-0525
Mailing Address - Fax:615-269-3596
Practice Address - Street 1:2125 BELCOURT AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3503
Practice Address - Country:US
Practice Address - Phone:615-269-0525
Practice Address - Fax:615-269-3596
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP0000001407103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN122872OtherMHN
TN3687264Medicaid
4039781OtherBLUECROSS BLUESHIELD
7312339OtherAETNA
1018243OtherCIGNA BEHAVIORAL HEALTH
7312339OtherAETNA