Individual
MR. RICHARD WAYNE PHILLIPS
Active
Individual
MR. RICHARD WAYNE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT26065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT26065
BVNPTE
CA
Enumeration date
08/05/2008
Last updated
08/05/2008
Update your record
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