Individual
JULIE L. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1417
(203) 419-0381
(203) 419-0389
Mailing address
31 STOUGHTON ST, THOMASTON, CT 06787-1639
(860) 283-8350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003316
CT
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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