Provider Demographics
NPI:1750707568
Name:MURRAY, MATTHEW J
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:J
Last Name:MURRAY
Suffix:
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 1:4370 KUKUI GROVE ST STE 3-211
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-2003
Mailing Address - Country:US
Mailing Address - Phone:808-241-3796
Mailing Address - Fax:808-274-3133
Practice Address - Street 1:4370 KUKUI GROVE ST STE 3-211
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-2003
Practice Address - Country:US
Practice Address - Phone:808-241-3796
Practice Address - Fax:808-274-3133
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker