Provider Demographics
NPI:1811776321
Name:MURRY, VIRGINIA LEAH
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:LEAH
Last Name:MURRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 690
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:LA
Mailing Address - Zip Code:71340-0690
Mailing Address - Country:US
Mailing Address - Phone:318-744-5727
Mailing Address - Fax:
Practice Address - Street 1:303 FALCON AVENUE
Practice Address - Street 2:
Practice Address - City:SICILY ISLAND
Practice Address - State:LA
Practice Address - Zip Code:71368
Practice Address - Country:US
Practice Address - Phone:318-389-5560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6009235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist