Individual
JAMES R PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
532 BRYDEN AVE, LEWISTON, ID 83501-4445
(208) 798-5168
Mailing address
532 BRYDEN AVE, LEWISTON, ID 83501-4445
(208) 798-5168
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-305
ID
103TC1900X
Counseling Psychologist
Primary
LCPC-144
ID
Other
Enumeration date
10/18/2006
Last updated
09/11/2025
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