Individual
BRANDON MICHAEL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3711 N ROAN ST, APT B14, JOHNSON CITY, TN 37601-1258
(423) 213-7099
Mailing address
3711 N ROAN ST, APT B14, JOHNSON CITY, TN 37601
(423) 213-7099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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