Organization
KRISTIN M. PHILLIPS, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN M. PHILLIPS PH.D. (MANAGER)
(813) 701-2471
Entity
Organization
Contact information
Practice address
14448 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2612
(813) 701-2471
(813) 701-2471
Mailing address
14448 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2612
(813) 701-2471
(813) 701-2471
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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