Individual
DR. JANNEL M PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1 FORD PLACE, DETROIT, MI 48202
(313) 876-2526
Mailing address
36985 VARGO ST, LIVONIA, MI 48152-2715
(248) 470-4601
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1432
KY
103G00000X
Clinical Neuropsychologist
6208
OH
103G00000X
Clinical Neuropsychologist
6301015369
MI
103TC0700X
Clinical Psychologist
Primary
6301015369
MI
Other
Enumeration date
08/16/2006
Last updated
03/28/2021
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