Individual
MR. RICHARD PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
601 S STATE ROAD 7, PLANTATION, FL 33317-4054
(954) 321-2296
(954) 321-5399
Mailing address
3302 FARRAGUT ST, UNIT 5E, HOLLYWOOD, FL 33021-3118
(954) 987-0714
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS 583
FL
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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