Provider Demographics
NPI:1306876776
Name:MURRAY, CYNDI LEE (MS)
Entity type:Individual
Prefix:
First Name:CYNDI
Middle Name:LEE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9289
Mailing Address - Street 2:TMH MEDICAL PAVILION, SUITE 406
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309
Mailing Address - Country:US
Mailing Address - Phone:304-767-7985
Mailing Address - Fax:304-767-7989
Practice Address - Street 1:4607 MACCORKLE AVE SW
Practice Address - Street 2:SUITE 406
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1364
Practice Address - Country:US
Practice Address - Phone:304-767-7985
Practice Address - Fax:304-767-7989
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVA-0218231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist