Provider Demographics
NPI:1215109285
Name:MURPHY, TERRY LEE (PSYD)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:LEE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 W GORGAS LN
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2509
Mailing Address - Country:US
Mailing Address - Phone:215-510-6816
Mailing Address - Fax:215-848-5342
Practice Address - Street 1:234 W GORGAS LN
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-2509
Practice Address - Country:US
Practice Address - Phone:215-510-6816
Practice Address - Fax:215-848-5342
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-30
Last Update Date:2008-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS 008423-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical