Provider Demographics
NPI:1063931889
Name:MURPHY, SCOTT MIICHAEL (LMHC)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:MIICHAEL
Last Name:MURPHY
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 MIDLAND ST
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11724-1806
Mailing Address - Country:US
Mailing Address - Phone:516-313-6338
Mailing Address - Fax:
Practice Address - Street 1:66 MIDLAND ST
Practice Address - Street 2:
Practice Address - City:COLD SPRING HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11724-1806
Practice Address - Country:US
Practice Address - Phone:516-313-6338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health