Individual
JUDY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 105TH ST E, TACOMA, WA 98445-5324
(253) 298-4541
(253) 298-4515
Mailing address
2300 105TH ST E, TACOMA, WA 98445-5324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002032
WA
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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