Phillips, Mark A.

Phillips, Mark A. is an sole proprietor health care provider with primary practice located at 7640 Highway 70 S Suite 209, Nashville TN 37221-1758. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Phillips, Mark A. can be contacted via phone (615) 646-1141.

Contact Information

Primary practice address
7640 Highway 70 S Suite 209 Nashville TN 37221-1758
Phone: (615) 646-1141
Fax: (615) 646-1149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X P1513 Tennessee
Behavioral Health & Social Service Providers / Psychologist 103T00000X P1513 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P1513 Tennessee

Profile Details

NPI number 1538215736
LBN Legal business name Phillips, Mark A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2007
Last updated Jan 6th, 2015 - about 11 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 1538215736 NPPES
Tennessee MEDICAID 3686357

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