Individual
MINDI PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 437-0624
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 437-0624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
140964
KY
235Z00000X
Speech-Language Pathologist
SA 8902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891230100
—
FL
Enumeration date
10/11/2006
Last updated
04/09/2019
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