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Individual
DR. KELLY PHILLIPS
Active
Individual
DR. KELLY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
35802
CA
103G00000X
Clinical Neuropsychologist
PSY35802
CA
103TC0700X
Clinical Psychologist
Primary
35802
CA
103TC0700X
Clinical Psychologist
Primary
PSY35802
CA
103TC2200X
Clinical Child & Adolescent Psychologist
35802
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY35802
CA
103TF0200X
Forensic Psychologist
35802
CA
103TF0200X
Forensic Psychologist
PSY35802
CA
Other
Enumeration date
03/31/2020
Last updated
05/27/2026
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