1225192255 NPI number — MR. WILLIAM MURPHY LMFT

Table of content: MR. WILLIAM MURPHY LMFT (NPI 1225192255)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225192255 NPI number — MR. WILLIAM MURPHY LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MURPHY
Provider First Name:
WILLIAM
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MURPHY
Provider Other First Name:
JOHN
Provider Other Middle Name:
WILLIAM (BILL)
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1225192255
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/29/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3434 TRUXTUN AVE
Provider Second Line Business Mailing Address:
SUITE #210
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93301-3033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-330-7498
Provider Business Mailing Address Fax Number:
661-395-9165

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3434 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
SUITE #210
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-3033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-330-7498
Provider Business Practice Location Address Fax Number:
661-395-9165
Provider Enumeration Date:
12/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MFC 20259 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MFC 20259 . This is a "MFT LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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