Individual
BETTY L PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
720 MAIN ST, SUITE B, WOODLAND, CA 95695-3407
(530) 666-4245
Mailing address
1020 MASON CT, DIXON, CA 95620-2174
(530) 666-4245
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY11250
CA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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