Individual
KATHLEEN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3126 E VALLEY WATER MILL RD, APT 4804, SPRINGFIELD, MO 65803-4908
(417) 833-8279
Mailing address
3126 E VALLEY WATER MILL RD, APT. 4804, SPRINGFIELD, MO 65803-4908
(417) 380-4057
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
19282
TX
235Z00000X
Speech-Language Pathologist
Primary
2008016779
MO
Other
Enumeration date
11/15/2007
Last updated
08/28/2009
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