Doctor Name: | MR. ROSS G PHILLIPS |
NPI Number: | 1508889296 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LCSW |
License Number: | 6652 |
Business Practice Address: | 975 Port Washington Rd Grafton, WI - 530249201 |
Business Phone Number: | 2623298500 |
Business Fax Number: | |
Mailing Address: | 1220 Dewey Ave, WAUWATOSA |
State: | WI |
Postal Code: | 532132504 |
Phone Number: | 4144546779 |
Fax Number: | 4144546450 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 01/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6652 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |