Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 21145 | TX |
N | 103T00000X | Psychologist | 21145 | TX |
N | 103G00000X | Clinical Psychologist | 21145 | TX |
N | 103TC0700X | Clinical Psychologist | 21145 | TX |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 21145 | TX |
NPI | 1124242201 |
---|---|
Provider Name | Dr. Michael Edmond Murray |
First Address | Dallas, TX 75220-6422 |
Second Address | Dallas, TX 75230-1530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |