Individual
KIMBERLY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5000
Mailing address
11723 S LAUREL DR APT 522, LAUREL, MD 20708-3904
(646) 508-6684
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1001672277
MD
Other
Enumeration date
08/26/2014
Last updated
01/24/2025
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