Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH |
NPI | 1083250112 |
---|---|
Provider Name | Kelly Murphy |
First Address | Canfield, OH 44406-9709 |
Second Address | Canfield, OH 44406-9709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2019 |
Last Update Date | 25/11/2019 |