Individual
DR. SUSAN L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD CCCA
Contact information
Practice address
524 HIGHLAND AVENUE, GREENSBORO, NC 27402-6170
(336) 334-5184
(336) 334-4475
Mailing address
PO BOX 26170 UNCG, 300 FERGUSON BUILDING, GREENSBORO, NC 27402-6170
(336) 334-5184
(336) 334-4475
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4916
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4916
AUDIOLOGY LICENSE
NC
01
—
953
HEARING AID LICENSE
NC
Enumeration date
07/12/2005
Last updated
08/20/2007
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