Provider Demographics
NPI:1487085916
Name:MURRAY, PATRICIA ANN (LPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WILLINGBORO RD
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-1440
Mailing Address - Country:US
Mailing Address - Phone:856-217-9065
Mailing Address - Fax:
Practice Address - Street 1:900 RT 168, STE D2
Practice Address - Street 2:WASHINGTON PROFESSIONAL CAMPUS
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012
Practice Address - Country:US
Practice Address - Phone:856-352-0054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00112500101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0087866Medicaid