Doctor Name: | MS. PHYLLIS TURNER |
NPI Number: | 1104951607 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 00610 |
Business Practice Address: | 650 Scarbourough Canyon Lake, TX - 781334529 |
Business Phone Number: | 8309644390 |
Business Fax Number: | |
Mailing Address: | 7101 Old Spring Branch Rd, SPRING BRANCH |
State: | TX |
Postal Code: | 780705118 |
Phone Number: | 8309644390 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 00610 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |