Phillips, George W.

Phillips, George W. is an sole proprietor health care provider with primary practice located at 206 State St , Northampton MA 01060-2250. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Phillips, George W. can be contacted via phone (413) 586-2180.

Contact Information

Primary practice address
206 State St Northampton MA 01060-2250
Phone: (413) 586-2180
Fax: (413) 586-9800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 7181 Massachusetts
Behavioral Health & Social Service Providers / Social Worker 104100000X 202250 Massachusetts

Profile Details

NPI number 1306995436
LBN Legal business name Phillips, George W.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306995436 NPPES
Massachusetts MEDICAID 0501531
Massachusetts Other W06051

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