Individual
DR. WALTOR M PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
415 MIDDLEBURY ROAD, MIDDLEBURY, CT 06762
(203) 758-8333
(203) 758-8333
Mailing address
415 MIDDLEBURY ROAD, MIDDLEBURY, CT 06762
(203) 758-8333
(203) 758-8333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
621
CT
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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