Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1033885793 |
---|---|
Provider Name | Shanice Nichelle Murphy |
First Address | Columbus, GA 31904-2997 |
Second Address | Columbus, GA 31904-2997 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2021 |
Last Update Date | 20/08/2021 |