Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 0810004231 | VA |
Y | 103TC0700X | Clinical Psychologist | 0810004231 | VA |
NPI | 1003031865 |
---|---|
Provider Name | Gregory Michael Murphy |
First Address | Ashburn, VA 20147-3403 |
Second Address | Leesburg, VA 20175-2715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 05/06/2019 |