Basic Information
Provider Information
NPI: 1952498933
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SANCHEZ-MURPHY
FirstName: ANTONIA
MiddleName: J
NamePrefix:  
NameSuffix:  
Credential: MA,LLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 623 BIRCH TREE CT
Address2:  
City: ROCHESTER HILLS
State: MI
PostalCode: 483063303
CountryCode: US
TelephoneNumber: 2486938880
FaxNumber: 2483917478
Practice Location
Address1: 3694 CLARKSTON RD
Address2: SUITE D
City: CLARKSTON
State: MI
PostalCode: 483485213
CountryCode: US
TelephoneNumber: 2486938880
FaxNumber: 2483917478
Other Information
ProviderEnumerationDate: 10/09/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X6301005516MIY Behavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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