Phillips, Pauline Elizabeth

Phillips, Pauline Elizabeth is an sole proprietor health care provider with primary practice located at 1919 State St Suite 18, New Albany IN 47150-4929. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Phillips, Pauline Elizabeth can be contacted via phone (812) 944-2532.

Contact Information

Primary practice address
1919 State St Suite 18 New Albany IN 47150-4929
Phone: (812) 944-2532
Fax: (812) 944-2549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5295 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0784 Kentucky

Profile Details

NPI number 1710168828
LBN Legal business name Phillips, Pauline Elizabeth
Credentials CSW, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2007
Last updated Jan 11th, 2012 - about 14 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 1710168828 NPPES
Kentucky MEDICAID 30605018
Kentucky Other 000000543837

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