Phillips, Gina Lee

Phillips, Gina Lee is an individual health care provider with primary practice located at 829 Lincoln St , Dickson City PA 18519-1428. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Phillips, Gina Lee can be contacted via phone (570) 702-6268.

Contact Information

Primary practice address
829 Lincoln St Dickson City PA 18519-1428
Phone: (570) 702-6268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL013582 Pennsylvania

Profile Details

NPI number 1326511957
LBN Legal business name Phillips, Gina Lee
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2019
Last updated Jan 7th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326511957 NPPES
Pennsylvania MEDICAID 1008

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