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Individual
THELVANESA MURPHY
Active
Individual
THELVANESA MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
4585
SC
103TF0000X
Family Psychologist
4585
SC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
4585
SC
103TP2701X
Group Psychotherapy Psychologist
4585
SC
103TS0200X
School Psychologist
Primary
4585
SC
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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