Individual
SUSAN DAVIS PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
519 LATHAM DR FL 2, LOWELL, AR 72745-8360
(479) 750-0125
Mailing address
2312 S THE PEAKS BLVD, ROGERS, AR 72758-1428
(901) 692-0011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1767
AR
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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