1578907564 NPI number — LYNNE MURPHY

Table of content: LYNNE MURPHY (NPI 1578907564)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578907564 NPI number — LYNNE MURPHY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MURPHY
Provider First Name:
LYNNE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FISHER
Provider Other First Name:
LYNNE
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1578907564
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/22/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
TOWSON UNIVERSITY SPEECH LANG CTR
Provider Second Line Business Mailing Address:
8000 YORK ROAD
Provider Business Mailing Address City Name:
TOWSON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21252-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-704-7302
Provider Business Mailing Address Fax Number:
410-704-6303

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 OLYMPIC PLACE, TOWSON UNIVERSITY
Provider Second Line Business Practice Location Address:
INSTITUTE FOR WELL-BEING
Provider Business Practice Location Address City Name:
TOWSON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-704-7302
Provider Business Practice Location Address Fax Number:
410-704-6303
Provider Enumeration Date:
04/22/2013

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: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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