Individual
DAVID PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 HILLCREST DR, WELLSBURG, WV 26070-1942
(304) 281-1178
Mailing address
220 HILLCREST DR, WELLSBURG, WV 26070-1942
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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