Provider Demographics
NPI:1316276405
Name:MURPHY, DOUGLAS NATHANIEL (LPC)
Entity type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:NATHANIEL
Last Name:MURPHY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4150 W PEORIA AVE STE 122
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-3951
Mailing Address - Country:US
Mailing Address - Phone:480-215-1503
Mailing Address - Fax:602-346-0117
Practice Address - Street 1:4150 W PEORIA AVE STE 122
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-3951
Practice Address - Country:US
Practice Address - Phone:480-215-1503
Practice Address - Fax:602-346-0117
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-18
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health