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Provider Information for 1962743427


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Mr. MARTIN P. MURPHY L.I.S.W.-S.


Sex: Male

NPI: 1962743427
Last Updated: 2013-03-08
Certification Date:

Details

NameValue
NPI1962743427
Enumeration Date2013-03-08
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2300 RAMSEY ST
VAMC
FAYETTEVILLE, NC 28301-3856
United States

Phone: 910-488-2120 | Fax:
 
Primary Practice Address 2300 RAMSEY ST
VAMC
FAYETTEVILLE, NC 28301-3856
United States

Phone: 910-488-2120 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)OHI-0007459-SState of Ohio Counselor, Social Worker and Marriage & Family Therapist Board
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalOHI-0007459-S