Phillips, Robert Dean

Phillips, Robert Dean is an sole proprietor health care provider with primary practice located at 152 Milmont Shores Rd Suite 104, Chapin SC 29036-9559. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Phillips, Robert Dean can be contacted via phone (803) 360-9698.

Contact Information

Primary practice address
152 Milmont Shores Rd Suite 104 Chapin SC 29036-9559
Phone: (803) 360-9698
Fax: (803) 941-7266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 410 South Carolina
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 410 South Carolina
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X 410 South Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 410 South Carolina

Profile Details

NPI number 1184693699
LBN Legal business name Phillips, Robert Dean
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Jan 16th, 2017 - about 7 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 1184693699 NPPES
South Carolina MEDICAID GP3921
South Carolina MEDICAID PS0387

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