Provider Demographics
NPI:1194694406
Name:MURPHY, RYAN (HIS)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:MURPHY
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 SCRIBNER HILL RD
Mailing Address - Street 2:
Mailing Address - City:OTISFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04270-6206
Mailing Address - Country:US
Mailing Address - Phone:207-522-9390
Mailing Address - Fax:
Practice Address - Street 1:514 SCRIBNER HILL RD
Practice Address - Street 2:
Practice Address - City:OTISFIELD
Practice Address - State:ME
Practice Address - Zip Code:04270-6206
Practice Address - Country:US
Practice Address - Phone:207-522-9390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-04
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDL511237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty