Individual
DR. ROBERT DEAN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
152 MILMONT SHORES RD, SUITE 104, CHAPIN, SC 29036-9559
(803) 360-9698
(803) 941-7266
Mailing address
152 MILMONT SHORES RD, CHAPIN, SC 29036-9559
(803) 360-9698
(803) 941-7266
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
410
SC
103TC0700X
Clinical Psychologist
410
SC
103TC2200X
Clinical Child & Adolescent Psychologist
410
SC
103TE1100X
Exercise & Sports Psychologist
410
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3921
—
SC
05
—
PS0387
—
SC
Enumeration date
03/16/2006
Last updated
01/16/2017
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