Individual
DR. JUDITH PHILLIPS SILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
45121 UKIAH STREET, SUITE G, MENDOCINO, CA 95460
(707) 937-3000
(707) 937-3373
Mailing address
PO BOX 65, ELK, CA 95432-0065
(707) 937-3000
(707) 937-3373
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 7543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY075430
—
CA
Enumeration date
01/27/2007
Last updated
12/13/2013
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