Individual
DR. CARLOS WILLIAM PHILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
540 55TH STREET NE, WASHINGTON DC, DC 20019
(202) 939-2030
(240) 485-0995
Mailing address
9312 OGDEN PL, LANHAM, MD 20706-2774
(240) 938-1175
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
DC
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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