Individual
DR. SEAN PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1420
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440511
—
TN
Enumeration date
09/12/2005
Last updated
01/12/2011
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