Provider Demographics
NPI:1063545044
Name:MURPHY, MARCIA J (PHD)
Entity type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 E ORCHARD ROAD
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121
Mailing Address - Country:US
Mailing Address - Phone:303-795-1664
Mailing Address - Fax:303-795-1760
Practice Address - Street 1:681 E ORCHARD ROAD
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121
Practice Address - Country:US
Practice Address - Phone:303-795-1664
Practice Address - Fax:303-795-1760
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1400103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
87686Medicare UPIN
CO87686Medicare ID - Type Unspecified