Individual
MS. SUSAN ELIZABETH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHCNS
Contact information
Practice address
1207 W STATE ST STE M, ALLIANCE, OH 44601-4686
(330) 820-8407
(330) 821-8506
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN 19977 / NS 01101
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105343
—
OH
Enumeration date
08/21/2006
Last updated
12/29/2021
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