Individual
DIANE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 N MISSOURI ST STE 5, WEST MEMPHIS, AR 72301-2600
(870) 733-5963
Mailing address
318 SOUTHWIND DR, MARION, AR 72364-3002
(870) 514-7918
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
200690
AR
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Enumeration date
07/26/2019
Last updated
01/04/2021
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