| Doctor Name: | LIANE PHILLIPS |
| NPI Number: | 1528322591 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 18242 |
| Business Practice Address: | 2425 E Southlake Blvd #100 Southlake, TX - 760926674 |
| Business Phone Number: | 8174420222 |
| Business Fax Number: | 8174420223 |
| Mailing Address: | 6126 Green Jacket Dr, #1025 FT WORTH |
| State: | TX |
| Postal Code: | 761376867 |
| Phone Number: | 8172280336 |
| Fax Number: | 8174420223 |
| NPI Enumeration Date: | 06/25/2012 |
| NPI Last Update Date: | 06/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 18242 |
| 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 |