Provider Demographics
NPI:1700127347
Name:MURPHY, DEXTER SR
Entity Type:Individual
Prefix:
First Name:DEXTER
Middle Name:
Last Name:MURPHY
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6105 SE 55TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73135-5202
Mailing Address - Country:US
Mailing Address - Phone:405-250-8246
Mailing Address - Fax:
Practice Address - Street 1:6105 SE 55TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73135-5202
Practice Address - Country:US
Practice Address - Phone:405-250-8246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health