Individual
SHAUN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LCMHC
Contact information
Practice address
530 WASHINGTON HWY, MORRISVILLE, VT 05661-8715
(802) 888-8320
Mailing address
530 WASHINGTON HWY, MORRISVILLE, VT 05661-8715
(802) 888-8320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
068-0000616
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00059497
BCBS
VT
05
—
1009840
—
VT
01
—
2173851
CIGNA
VT
01
—
710192
MVP
VT
Enumeration date
10/13/2006
Last updated
07/08/2007
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