Individual
LYDIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 SHREVEPORT HWY, PINEVILLE, LA 71360-3527
(318) 640-3014
Mailing address
315 SANSON RD, PINEVILLE, LA 71360-3600
(903) 472-1174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7511
LA
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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