Provider Demographics
NPI:1457574899
Name:MURRAY, NANCY J (EDD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:J
Last Name:MURRAY
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23W364 GREENBRIAR DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-9534
Mailing Address - Country:US
Mailing Address - Phone:630-548-3825
Mailing Address - Fax:630-579-4836
Practice Address - Street 1:23W364 GREENBRIAR DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-9534
Practice Address - Country:US
Practice Address - Phone:630-548-3825
Practice Address - Fax:630-579-4836
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical