Charlene Phillips

NPI #1063019784 in Magnolia, Delaware

Provider Information

NPI Number: 1063019784
Entity Type: Individual
Name: Charlene Phillips
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Intellectual & Developmental Disabilities
Enumeration Date: Oct 6, 2020
Last Updated: Oct 6, 2020

Practice Location

Address: 702 WOODLYTOWN RD
City: Magnolia
State: Delaware
ZIP Code: 19962-1622
Phone: (302) 573-1231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities	103TM1800X	Primary

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