Provider Demographics
NPI:1144685314
Name:MCMURRAY, DONALD (PLPC)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:MCMURRAY
Suffix:
Gender:M
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 SULLIVAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63107-3919
Mailing Address - Country:US
Mailing Address - Phone:314-503-1746
Mailing Address - Fax:314-488-2059
Practice Address - Street 1:1323 SULLIVAN AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63107-3919
Practice Address - Country:US
Practice Address - Phone:314-503-1746
Practice Address - Fax:314-488-2059
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015009900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional