Provider Demographics
NPI:1295714913
Name:MURPHY, PEGGY C (PSYD)
Entity type:Individual
Prefix:DR
First Name:PEGGY
Middle Name:C
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:C
Other - Last Name:MURPHY-HAZZARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:848 S BERETANIA ST STE 402
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2551
Mailing Address - Country:US
Mailing Address - Phone:808-348-0095
Mailing Address - Fax:808-945-0095
Practice Address - Street 1:848 S BERETANIA ST STE 402
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2551
Practice Address - Country:US
Practice Address - Phone:808-348-0095
Practice Address - Fax:808-945-0095
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24702103G00000X
WAPY60043851103G00000X, 103G00000X
HIPSY754103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI100441Medicare ID - Type Unspecified
HI100441Medicare ID - Type Unspecified