Individual
HEATHER E PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4790 EXECUTIVE CENTRE PKWY, SAINT PETERS, MO 63376-1606
(636) 441-3100
Mailing address
4790 EXECUTIVE CENTRE PKWY, SAINT PETERS, MO 63376-1606
(636) 441-3100
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2012020311
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184973380
—
MO
01
—
431560263
TRICARE
MO
Enumeration date
09/04/2012
Last updated
01/09/2023
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