Mallory Murphy

NPI #1497478002 in Eagle, Idaho

Provider Information

NPI Number: 1497478002
Entity Type: Organization
Organization Name: Mallory Murphy
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 20, 2022
Last Updated: Sep 20, 2022

Practice Location

Address: 172 S ACADEMY AVE STE 150
City: Eagle
State: Idaho
ZIP Code: 83616-6564
Phone: (208) 891-6439

Authorized Official

Name: MALLORY MURPHY
Title: OWNER
Phone: (208) 891-6439

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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