Provider Demographics
NPI:1427171859
Name:MURRAY, MARGARET 'ANN' (NMD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:'ANN'
Last Name:MURRAY
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:'ANN'
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MACCC
Mailing Address - Street 1:1559 EL CAMINO, STE 3
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403
Mailing Address - Country:US
Mailing Address - Phone:928-854-8448
Mailing Address - Fax:928-854-7999
Practice Address - Street 1:1559 EL CAMINO, STE 3
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403
Practice Address - Country:US
Practice Address - Phone:928-854-8448
Practice Address - Fax:928-854-7999
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ01-646175F00000X
AZSLP6026235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist