Provider Demographics
NPI:1063576361
Name:MURPHY, PRISCILLA JEAN (LPCMH,MED, BSN,RN)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:JEAN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPCMH,MED, BSN,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 CAPITOL TRL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-3859
Mailing Address - Country:US
Mailing Address - Phone:302-898-3261
Mailing Address - Fax:
Practice Address - Street 1:523 CAPITOL TRL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-3859
Practice Address - Country:US
Practice Address - Phone:302-898-3261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000382101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health