Provider Demographics
NPI:1740433143
Name:MURPHY, CRAIG PATRICK (PHD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:PATRICK
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WRENTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02093-1455
Mailing Address - Country:US
Mailing Address - Phone:617-771-4807
Mailing Address - Fax:
Practice Address - Street 1:128 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2815
Practice Address - Country:US
Practice Address - Phone:508-668-0020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA365823103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool