Doctor Name: | DR. SHARON MARIE PHILLIPS |
NPI Number: | 1033144878 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 5222 |
Business Practice Address: | 8080 Beckett Center Dr Suite 325 West Chester, OH - 450695026 |
Business Phone Number: | 5138600801 |
Business Fax Number: | 5138600828 |
Mailing Address: | 8080 Beckett Center Dr, Suite 325 WEST CHESTER |
State: | OH |
Postal Code: | 450695026 |
Phone Number: | 5138600801 |
Fax Number: | 5138600828 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 5222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |