Individual
GERALYN MARIE PHILLIPS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8439 WHITE OAK AVE, #104, RANCHO CUCAMONGA, CA 91730-3860
(909) 466-7624
Mailing address
8439 WHITE OAK AVE, #104, RANCHO CUCAMONGA, CA 91730-3860
(909) 466-7624
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 17167
CA
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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