Doctor Name: | BETH ANN PHILLIPS |
NPI Number: | 1063653129 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | SP 2940 |
Business Practice Address: | 18740 Ventura Blvd Ste 100 Tarzana, CA - 913563366 |
Business Phone Number: | 8187740224 |
Business Fax Number: | 8187741935 |
Mailing Address: | 18740 Ventura Blvd, Ste 100 TARZANA |
State: | CA |
Postal Code: | 913563366 |
Phone Number: | 8187740224 |
Fax Number: | 8187741935 |
NPI Enumeration Date: | 03/18/2009 |
NPI Last Update Date: | 03/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 2940 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |