Individual
DAKOTA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, RBT
Contact information
Practice address
808 NORTH ST, CODY, WY 82414-8438
(307) 527-7060
Mailing address
2519 CARTER AVE, CODY, WY 82414-4022
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
WY
Other
Enumeration date
11/08/2013
Last updated
07/02/2018
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