Provider Demographics
NPI:1104115401
Name:MURPHY, CATHY ANN (LPC)
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:ANN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28744 COUNTY ROAD 407
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:MI
Mailing Address - Zip Code:49868-7850
Mailing Address - Country:US
Mailing Address - Phone:906-658-3356
Mailing Address - Fax:
Practice Address - Street 1:405 NEWBERRY AVE
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:MI
Practice Address - Zip Code:49868-1156
Practice Address - Country:US
Practice Address - Phone:906-658-3356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1961904101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional