Individual
PATRICIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5150 STILESBORO RD NW, SUITE 430, KENNESAW, GA 30152-7744
(770) 218-2300
(770) 218-2201
Mailing address
5150 STILESBORO RD NW, SUITE 430, KENNESAW, GA 30152-7744
(770) 218-2300
(770) 218-2201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007390
GA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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