Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LMHC #440 | MA |
NPI | 1003167867 |
---|---|
Provider Name | Mr. Thomas Edward Murphy |
First Address | Framingham,, MA 01702-6388 |
Second Address | Framingham,, MA 01702-6388 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2012 |
Last Update Date | 19/09/2012 |