Provider Demographics
NPI:1457524779
Name:MURPHY, MICHAEL D (AU D)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:MURPHY
Suffix:
Gender:M
Credentials:AU D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2299 9TH AVE N
Mailing Address - Street 2:SUITE 3-B
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-6800
Mailing Address - Country:US
Mailing Address - Phone:727-321-3344
Mailing Address - Fax:727-321-3236
Practice Address - Street 1:2299 9TH AVE N
Practice Address - Street 2:SUITE 3-B
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-6800
Practice Address - Country:US
Practice Address - Phone:727-321-3344
Practice Address - Fax:727-321-3236
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY 1072231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist