Provider Demographics
NPI:1053385906
Name:MURPHY, CAROL LEE (SLP)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:LEE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:LEE
Other - Last Name:OUILLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2257
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95001-2257
Mailing Address - Country:US
Mailing Address - Phone:831-234-4181
Mailing Address - Fax:831-728-1121
Practice Address - Street 1:200 BABE THOMPSON RD
Practice Address - Street 2:
Practice Address - City:LA SELVA
Practice Address - State:CA
Practice Address - Zip Code:95076
Practice Address - Country:US
Practice Address - Phone:831-234-4181
Practice Address - Fax:831-728-1121
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP001314235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist