Individual
DR. WARREN H PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH, D.
Contact information
Practice address
400 S 4TH ST STE 400, MINNEAPOLIS, MN 55415-1419
(970) 201-1774
Mailing address
400 S 4TH ST STE 400, MINNEAPOLIS, MN 55415-1419
(970) 201-1774
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0006871
CO
103T00000X
Psychologist
00842
IA
103T00000X
Psychologist
Primary
356
IA
103TB0200X
Cognitive & Behavioral Psychologist
00842
IA
103TC0700X
Clinical Psychologist
00842
IA
103TC2200X
Clinical Child & Adolescent Psychologist
00842
IA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
00842
IA
Other
Enumeration date
09/27/2006
Last updated
11/20/2025
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