Doctor Name: | MICHELLE COX PHIPPS |
NPI Number: | 1568586345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 5047 |
Business Practice Address: | 2359 Highway 105 Cdsa Of The Blue Ridge Boone, NC - 286077814 |
Business Phone Number: | 3369824754 |
Business Fax Number: | |
Mailing Address: | 297 Phipps Dairy Rd, PINEY CREEK |
State: | NC |
Postal Code: | 286639108 |
Phone Number: | 3363598411 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 12/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 5047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |