| Doctor Name: | MRS. PHYLLIS W. KING |
| NPI Number: | 1609953835 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 320120 |
| Business Practice Address: | 219 Washington St Wellesley Hills, MA - 024813105 |
| Business Phone Number: | 6172443199 |
| Business Fax Number: | 6172443199 |
| Mailing Address: | 34 Agawam Rd, WABAN |
| State: | MA |
| Postal Code: | 024681303 |
| Phone Number: | 6172443806 |
| Fax Number: | 6172443199 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 320120 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |