| Doctor Name: | MS. PHYLLIS ST. LOUIS MAGNUS |
| NPI Number: | 1043293970 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-R |
| License Number: | R029668-1 |
| Business Practice Address: | 70 Edgewood Rd Saranac Lake, NY - 129835644 |
| Business Phone Number: | 5188915535 |
| Business Fax Number: | 5188915851 |
| Mailing Address: | 58 Saranac Ln, SARANAC LAKE |
| State: | NY |
| Postal Code: | 129835907 |
| Phone Number: | 5188912451 |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2005 |
| NPI Last Update Date: | 10/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R029668-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |