Individual
PAULINE ELIZABETH PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW, LMFT
Contact information
Practice address
1919 STATE ST, SUITE 18, NEW ALBANY, IN 47150-4929
(812) 944-2532
(812) 944-2549
Mailing address
1919 STATE ST, SUITE 18, NEW ALBANY, IN 47150-4929
(812) 944-2532
(812) 944-2549
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5295
KY
106H00000X
Marriage & Family Therapist
0784
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000543837
ANTHEM
KY
05
—
30605018
—
KY
Enumeration date
11/16/2007
Last updated
01/11/2012
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