Provider Demographics
NPI:1144357401
Name:MURPHY, DONALD CLARENCE (PHD)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:CLARENCE
Last Name:MURPHY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 CENTURY PARKWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3103
Mailing Address - Country:US
Mailing Address - Phone:404-486-7450
Mailing Address - Fax:404-325-3663
Practice Address - Street 1:2200 CENTURY PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-3103
Practice Address - Country:US
Practice Address - Phone:404-486-7450
Practice Address - Fax:404-325-3663
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT000333106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52189209OtherBLUE CROSS BLUE SHIELD BC