Doctor Name: | DANIELLE NEWBERRY PHILLIPS |
NPI Number: | 1194075457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 5084 |
Business Practice Address: | 225 Vista Springs Cir Lexington, SC - 290728119 |
Business Phone Number: | 8033593195 |
Business Fax Number: | 8033593195 |
Mailing Address: | Po Box 708, LEXINGTON |
State: | SC |
Postal Code: | 290710708 |
Phone Number: | 8033593195 |
Fax Number: | 8033593195 |
NPI Enumeration Date: | 09/14/2012 |
NPI Last Update Date: | 09/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |