Individual
SALLY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
327 MARSCHALL RD, SUITE 250, SHAKOPEE, MN 55379-1687
(651) 769-6500
(651) 769-6549
Mailing address
2497 7TH AVE E, SUITE 101, NORTH ST PAUL, MN 55109-2902
(651) 769-6437
(651) 769-6449
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5503
MN
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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