Individual
MRS. MERIDITH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2500 S BROADWAY STE 300, EDMOND, OK 73013-4046
(405) 820-1611
(405) 285-9799
Mailing address
2500 S BROADWAY STE 300, EDMOND, OK 73013-4046
(405) 820-1611
(405) 285-9799
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2428
OK
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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