Phillips, Mindy

Phillips, Mindy is an sole proprietor health care provider with primary practice located at 26 Arizona Ave , Rockville Centre NY 11570-1403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Phillips, Mindy can be contacted via phone (516) 763-2764.

Contact Information

Primary practice address
26 Arizona Ave Rockville Centre NY 11570-1403
Phone: (516) 763-2764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 010620 New York
Behavioral Health & Social Service Providers / School 103TS0200X 010620 New York

Profile Details

NPI number 1720136583
LBN Legal business name Phillips, Mindy
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720136583 NPPES
New York Other 6800700 GHIPIN

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