Phillips, Theresa

Phillips, Theresa is an individual health care provider with primary practice located at 115 E Richmond Ave , Richmond CA 94801-4034. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Phillips, Theresa can be contacted via phone (510) 237-6865.

Contact Information

Primary practice address
115 E Richmond Ave Richmond CA 94801-4034
Phone: (510) 237-6865
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY 19723 California

Profile Details

NPI number 1932136108
LBN Legal business name Phillips, Theresa
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1932136108 NPPES
California Other PSY19723 STATE LICENSE

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