Doctor Name: | MRS. HEATHER BRITT PHILLIPS |
NPI Number: | 1659671956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 017314 |
Business Practice Address: | 2901 216th St Bayside, NY - 113602810 |
Business Phone Number: | 7182818800 |
Business Fax Number: | |
Mailing Address: | 1805 215th St, Apt. 11d BAYSIDE |
State: | NY |
Postal Code: | 113602155 |
Phone Number: | 9147728585 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2010 |
NPI Last Update Date: | 11/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 017314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |