Individual
PATRICK PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
624 W TROPICAL WAY, PLANTATION, FL 33317-3348
(954) 584-6155
(954) 316-7553
Mailing address
31 SW 12TH ST, DANIA BEACH, FL 33004-4226
(954) 214-9299
(954) 925-9333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6402
FL
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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