Individual
KRISTIN M PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2165 E OAKCREST DR, MERIDIAN, ID 83646-7385
(208) 293-6656
Mailing address
2165 E OAKCREST DR, MERIDIAN, ID 83646-7385
(208) 293-6656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1901
ID
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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