Basic Information
Provider Information
NPI: 1780050047
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: SARAH
MiddleName: FRANCES
NamePrefix:  
NameSuffix:  
Credential: M.S. ED., CCC-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7192 PARKLAND ST UNIT 112
Address2:  
City: BROOMFIELD
State: CO
PostalCode: 800214109
CountryCode: US
TelephoneNumber: 5165471525
FaxNumber:  
Practice Location
Address1: 590 FISHERS STATION DR
Address2: SUITE 130
City: VICTOR
State: NY
PostalCode: 145649744
CountryCode: US
TelephoneNumber: 5859247207
FaxNumber: 5859247049
Other Information
ProviderEnumerationDate: 08/20/2015
LastUpdateDate: 04/30/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/30/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X0003890CON Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 
235Z00000X025764NYY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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