Provider Demographics
NPI:1972621191
Name:MURPHY, MARIE ANTOINETTE (MSW BCD)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ANTOINETTE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MSW BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 NEWLANDS STREET
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815
Mailing Address - Country:US
Mailing Address - Phone:301-986-8477
Mailing Address - Fax:301-986-5777
Practice Address - Street 1:4501 CONNECTICUT AVENUE NW
Practice Address - Street 2:SUITE 202
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008
Practice Address - Country:US
Practice Address - Phone:202-237-6577
Practice Address - Fax:202-237-6578
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC303535103T00000X
MDMD10996103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist