Individual
AMALIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1642 E BARBERRY LN, MT PROSPECT, IL 60056-1512
(312) 650-5522
Mailing address
216 SUGARWOOD LN, AVON, IN 46123-8216
(317) 837-9740
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
11/01/2022
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