Faith L. Phillips, Ph.D., Pllc

LBN: Faith L. Phillips, Ph.D., Pllc
Faith L. Phillips, Ph.D., Pllc is an health care organization with primary practice located at 411 S. Park Drive , Broken Bow OK 74728-3331. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Faith L. Phillips, Ph.D., Pllc can be contacted via phone (580) 584-5550, or through Phillips, Faith L via phone (580) 584-5550.

Contact Information

Primary practice address
411 S. Park Drive Broken Bow OK 74728-3331
Phone: (580) 584-5550
Fax: (866) 584-1223
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Faith L PH.D.
Phone: (580) 584-5550

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 513 Oklahoma

Profile Details

NPI number 1104079474
LBN Legal business name Faith L. Phillips, Ph.D., Pllc
DBA Doing business as
Authorized official Phillips, Faith L PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2008
Last updated Jun 1st, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104079474 NPPES
Oklahoma MEDICAID 200216630A

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