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Individual

DR. MICHAEL STUART PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
39 SIMON ST, UNIT 5, NASHUA, NH 03060-3046
(603) 889-8648
(603) 882-9666
Mailing address
39 SIMON ST, UNIT 5, NASHUA, NH 03060-3046
(603) 889-8648
(603) 882-9666

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
807
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30420912
NH
Enumeration date
07/31/2006
Last updated
07/09/2007
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