Provider Demographics
NPI:1427422310
Name:MURPHY, CARMEN LYDIA
Entity type:Individual
Prefix:
First Name:CARMEN
Middle Name:LYDIA
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 PARK TER
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1142
Mailing Address - Country:US
Mailing Address - Phone:845-598-6809
Mailing Address - Fax:
Practice Address - Street 1:31 PARK TER
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1142
Practice Address - Country:US
Practice Address - Phone:845-598-6809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst