Provider Demographics
NPI:1962984526
Name:MURPHY, MARY HATTIE (RBT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:HATTIE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:HATTIE
Other - Last Name:MCALISTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:202 W POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-2649
Mailing Address - Country:US
Mailing Address - Phone:901-690-5213
Mailing Address - Fax:901-422-6303
Practice Address - Street 1:6413 QUINCE RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-8219
Practice Address - Country:US
Practice Address - Phone:901-690-5213
Practice Address - Fax:901-666-8440
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRBT-17-38746106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician