Individual
DR. GLEN LOUIS MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3455 E SUNDEW DR, ROLLING PRAIRIE, IN 46371-9684
(219) 778-4394
Mailing address
3455 E SUNDEW DR, ROLLING PRAIRIE, IN 46371-9684
(219) 778-4394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20010389A
IN
103TC0700X
Clinical Psychologist
20010389A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11607730
CAQH
—
01
—
20010389A
PSYCHOLOGIST LICENSE
IN
Enumeration date
11/07/2006
Last updated
09/11/2025
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