Provider Demographics
NPI:1538282405
Name:MURPHY, TERI L (LCPC)
Entity type:Individual
Prefix:
First Name:TERI
Middle Name:L
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5121 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERN SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60558-1831
Mailing Address - Country:US
Mailing Address - Phone:630-734-0417
Mailing Address - Fax:
Practice Address - Street 1:19 E 1ST ST
Practice Address - Street 2:SUITE D
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-4126
Practice Address - Country:US
Practice Address - Phone:630-734-0417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional