Phillips, James R

Phillips, James R is an sole proprietor health care provider with primary practice located at 532 Bryden Ave , Lewiston ID 83501-4445. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Phillips, James R can be contacted via phone (208) 798-5168.

Contact Information

Primary practice address
532 Bryden Ave Lewiston ID 83501-4445
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY-305 Idaho
Behavioral Health & Social Service Providers / Counseling 103TC1900X LCPC-144 Idaho

Profile Details

NPI number 1629159140
LBN Legal business name Phillips, James R
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 18 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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