Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 9357 | MA |
NPI | 1093806341 |
---|---|
Provider Name | Dr. Carly S. Murphy |
First Address | Simsbury, CT 06070-1258 |
Second Address | East Longmeadow, MA 01028-2360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 04/10/2021 |