Phillips, George W.
Phillips, George W. is an sole proprietor health care provider with primary practice located at 206 State St , Northampton MA 01060-2250. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Phillips, George W. can be contacted via phone (413) 586-2180.Contact Information
Primary practice address
206 State St
Northampton MA 01060-2250
Phone: (413) 586-2180
Fax: (413) 586-9800
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 7181 | Massachusetts |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 202250 | Massachusetts |
Profile Details
NPI number | 1306995436 |
---|---|
LBN Legal business name | Phillips, George W. |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 9th, 2007 |
Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306995436 | NPPES |
Massachusetts | MEDICAID | 0501531 | |
Massachusetts | Other | W06051 |
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