Provider Demographics
NPI:1336388610
Name:MCPHERSON, MYRA SUE (LMHC, PHD)
Entity Type:Individual
Prefix:DR
First Name:MYRA
Middle Name:SUE
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:LMHC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4726 GOLDSMITH LN
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-6211
Mailing Address - Country:US
Mailing Address - Phone:941-343-9745
Mailing Address - Fax:941-343-9745
Practice Address - Street 1:5824 BEE RIDGE RD # 230
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-5065
Practice Address - Country:US
Practice Address - Phone:941-343-9745
Practice Address - Fax:941-343-9745
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4066101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health