Doctor Name: | AMANDA PHILLIPS |
NPI Number: | 1457731622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC/SLP |
License Number: | 101028 |
Business Practice Address: | 2011 N. Collins Blvd Ste. 711 Richardson, TX - 75080 |
Business Phone Number: | 2147852377 |
Business Fax Number: | 7327370641 |
Mailing Address: | 2011 N Collins Blvd Ste 711, RICHARDSON |
State: | TX |
Postal Code: | 750802689 |
Phone Number: | 2147852377 |
Fax Number: | 7327370641 |
NPI Enumeration Date: | 06/03/2015 |
NPI Last Update Date: | 06/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 101028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |