Provider Demographics
NPI:1649358151
Name:MURPHY, ISABEL CATHERINE (PSYD)
Entity type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:CATHERINE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 LINDEN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-7915
Mailing Address - Country:US
Mailing Address - Phone:781-237-7761
Mailing Address - Fax:
Practice Address - Street 1:148 LINDEN ST STE 103
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-7915
Practice Address - Country:US
Practice Address - Phone:781-237-7761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7203103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW50463Medicare ID - Type Unspecified