Basic Information
Provider Information
NPI: 1518022839
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: KARRIE
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SPAULDING
OtherFirstName: KARRIE
OtherMiddleName: L
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 715 HORIZON DR
Address2: STE 225
City: GRAND JUNCTION
State: CO
PostalCode: 815068700
CountryCode: US
TelephoneNumber: 9706837107
FaxNumber: 9706837167
Practice Location
Address1: 515 28 3/4 RD
Address2:  
City: GRAND JUNCTION
State: CO
PostalCode: 815015016
CountryCode: US
TelephoneNumber: 9702639535
FaxNumber: 9706837279
Other Information
ProviderEnumerationDate: 12/27/2006
LastUpdateDate: 04/07/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  Y Behavioral Health & Social Service ProvidersCounselor 

No ID Information.


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