Individual
DR. PHYLLIS WHITE PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
570 ASBURY ST, SUITE 302, SAINT PAUL, MN 55104-1849
(651) 644-5275
(763) 201-1095
Mailing address
570 ASBURY ST, SUITE 302, SAINT PAUL, MN 55104-1849
(651) 644-5275
(763) 201-1095
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP1119
MN
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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