Doctor Name: | KATHLEEN PHILLIPS |
NPI Number: | 1174704431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 19282 |
Business Practice Address: | 3126 E Valley Water Mill Rd Apt 4804 Springfield, MO - 658034908 |
Business Phone Number: | 4178338279 |
Business Fax Number: | |
Mailing Address: | 3126 E Valley Water Mill Rd, Apt. 4804 SPRINGFIELD |
State: | MO |
Postal Code: | 658034908 |
Phone Number: | 4173804057 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2007 |
NPI Last Update Date: | 08/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 19282 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |