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Individual
DR. YVETTE MICHELLE PHILLIPS
Active
Individual
DR. YVETTE MICHELLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
63253
TX
103TC0700X
Clinical Psychologist
002675
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188361301
—
TX
01
—
188424
BLUE CROSS BLUE SHIELD
MO
01
—
258635-000
MEGELLAN
TX
01
—
33327021
BLUE CROSS BLUE SHIELD PP
MO
01
—
34873012
FREEDOM NETWORK SELECT
TX
05
—
493990618
—
MO
01
—
63253
CHAMPUS
TX
01
—
7160205
AETNA
MO
Enumeration date
06/02/2006
Last updated
05/20/2009
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