Individual
DR. MARK PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
(205) 558-4809
Mailing address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
(205) 558-4809
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1502
KY
Other
Enumeration date
03/07/2007
Last updated
04/24/2013
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