Provider Demographics
NPI:1356779649
Name:MURPHY, DEREK PAUL (M-RAS, CDP, SAP, CSC)
Entity type:Individual
Prefix:
First Name:DEREK
Middle Name:PAUL
Last Name:MURPHY
Suffix:
Gender:M
Credentials:M-RAS, CDP, SAP, CSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4824 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-3004
Mailing Address - Country:US
Mailing Address - Phone:253-292-7479
Mailing Address - Fax:
Practice Address - Street 1:5122 OLYMPIC DR NW STE 105
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1767
Practice Address - Country:US
Practice Address - Phone:253-851-2552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60383922101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)