Provider Demographics
NPI:1861270985
Name:MURPHY, STEVEN FOSTER
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:FOSTER
Last Name:MURPHY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 SAINT PAUL ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29115-5467
Mailing Address - Country:US
Mailing Address - Phone:901-569-2823
Mailing Address - Fax:
Practice Address - Street 1:396 SAINT PAUL ST STE 101
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29115-5467
Practice Address - Country:US
Practice Address - Phone:901-569-2823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6625101YP2500X
SC9356101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional