Provider Demographics
NPI:1942452339
Name:MURRAY, LYNDA BERAN (PHD, LPC, LMFT, NCC)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:BERAN
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PHD, LPC, LMFT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 GOLDEN OAK LN
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-2354
Mailing Address - Country:US
Mailing Address - Phone:540-400-7660
Mailing Address - Fax:
Practice Address - Street 1:2965 COLONNADE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018
Practice Address - Country:US
Practice Address - Phone:540-989-1703
Practice Address - Fax:540-989-1705
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002609101YP2500X
VA0717000783106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist