Individual
KATHERINE R PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1707 W ELFINDALE ST, SPRINGFIELD, MO 65807-1246
(417) 831-2273
Mailing address
1707 W ELFINDALE ST, SPRINGFIELD, MO 65807-1246
(417) 831-2273
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003011112
MO
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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