Pepper Ellen Phillips in College Park - Psychologist

Pepper Ellen Phillips - NPI 1023212594

Pepper Ellen Phillips is a Psychologist in College Park, Maryland. Pepper Ellen Phillips practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Pepper Ellen Phillips is 1023212594. The last update date is 2007-07-08.

Pepper Ellen Phillips's current location address is 1122 Shoemaker Bldg, College Park, Maryland. You can contact this provider via phone number 3013147672 and fax number 3013149206. The mailing address for Pepper Ellen Phillips is 1122 Shoemaker Bldg, College Park, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Pepper Ellen Phillips
Address 1122 Shoemaker Bldg, College Park, Maryland
Phone Number 3013147672
Fax Number 3013149206
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1023212594
Provider Enumeration Date 2007-06-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1122 Shoemaker Bldg
City College Park
State Maryland (MD)
Post Code 207428101
Phone Number 3013147672
Fax Number 3013149206

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 2748
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Pepper Ellen Phillips

What is the unique identifier code issued to Pepper Ellen Phillips by the Centers for Medicare & Medicaid Services (CMS)?

The Pepper Ellen Phillips has been assigned the NPI (National Provider Identifier) 1023212594. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Pepper Ellen Phillips is geographically located?

The Pepper Ellen Phillips is physically situated at the following location: 1122 Shoemaker Bldg, College Park, MD, 207428101.

What is the Pepper Ellen Phillips's specialty and taxonomy code?

The Pepper Ellen Phillips's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.

On what date did the Pepper Ellen Phillips receive its 1023212594 assignment from the Centers for Medicare & Medicaid Services?

The Pepper Ellen Phillips was assigned its 1023212594 by the Centers for Medicare & Medicaid Services on 2007-06-11.

As of what date was the information regarding Pepper Ellen Phillips, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Pepper Ellen Phillips, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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