Individual
KRISTINA TERESA PHILLIPS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
812 E JOLLY RD, STE 111, LANSING, MI 48910-6818
(517) 346-8200
(517) 346-8291
Mailing address
812 E JOLLY RD, STE 210, LANSING, MI 48910-6818
(517) 346-8410
(517) 346-8291
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012688
MI
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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