Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | Q0409 | AR |
NPI | 1003379819 |
---|---|
Provider Name | Pamela Denise Murphy |
First Address | Bowie, MD 20715-1803 |
Second Address | Germantown, MD 20876 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2019 |
Last Update Date | 09/04/2019 |