Individual
JAY ROBERT PHILLIPPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
112 UNIVERSITY DR N STE 300, FARGO, ND 58102
(701) 866-3641
(701) 660-1071
Mailing address
112 UNIVERSITY DR N STE 140, FARGO, ND 58102-4661
(701) 866-3641
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
03/10/2025
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