Basic Information
Provider Information
NPI: 1710304019
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: DEWEY
MiddleName: SCOTT
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 105 PARKWAY DR
Address2:  
City: HUNTINGTON
State: WV
PostalCode: 257052718
CountryCode: US
TelephoneNumber: 3046919581
FaxNumber:  
Practice Location
Address1: 1115 20TH ST STE 205
Address2:  
City: HUNTINGTON
State: WV
PostalCode: 257032071
CountryCode: US
TelephoneNumber: 3046911500
FaxNumber: 3046911510
Other Information
ProviderEnumerationDate: 03/25/2014
LastUpdateDate: 11/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X27932WVY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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