Provider Demographics
NPI:1487382479
Name:MURPHY, JESSICA LOU (SOUND THERAPIST)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:LOU
Last Name:MURPHY
Suffix:
Gender:F
Credentials:SOUND THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:NE
Mailing Address - Zip Code:68873-2023
Mailing Address - Country:US
Mailing Address - Phone:308-754-2020
Mailing Address - Fax:308-754-2088
Practice Address - Street 1:602 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:NE
Practice Address - Zip Code:68873-2023
Practice Address - Country:US
Practice Address - Phone:308-754-2020
Practice Address - Fax:308-754-2088
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist