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Individual

DR. JUDY N PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
5230 CARROLL CANYON RD, #320, SAN DIEGO, CA 92121
(619) 220-2525
(858) 558-0488
Mailing address
3525 DEL MAR HEIGHTS RD, BOX 113, SAN DIEGO, CA 92130
(619) 220-2525
(858) 558-0488

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5643
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00PL56430
BLUE SHIELD
Enumeration date
12/04/2006
Last updated
07/08/2007
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