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Individual

KATHLEEN T MURRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
226 W MAIN ST, STE 208, OTTUMWA, IA 52501-2503
(479) 530-7003
(641) 682-1924
Mailing address
226 W MAIN ST, STE 208, OTTUMWA, IA 52501-2503
(479) 530-7003
(641) 682-1924

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001083
IA
103TC0700X
Clinical Psychologist
01-09P
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659353670
BLUE CROSS BLUE SHIELD OF IOWA
IA
05
1659353670
IA
Enumeration date
09/30/2008
Last updated
12/18/2012
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