Individual
DR. DAVID PEEAIR PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MCC, EDD, PHD
Contact information
Practice address
1187 POCONO BLVD, MOUNT POCONO, PA 18344-1046
(570) 242-5098
Mailing address
111 DORCHESTER DR, TOBYHANNA, PA 18466-8218
(570) 242-5098
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
16663
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2972261
—
PA
Enumeration date
01/13/2022
Last updated
01/13/2022
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