Phillips, Waltor M

Phillips, Waltor M is an individual health care provider with primary practice located at 415 Middlebury Road , Middlebury CT 06762. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Phillips, Waltor M can be contacted via phone (203) 758-8333.

Contact Information

Primary practice address
415 Middlebury Road Middlebury CT 06762
Phone: (203) 758-8333
Fax: (203) 758-8333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 621 Connecticut

Profile Details

NPI number 1013081819
LBN Legal business name Phillips, Waltor M
Credentials PH D
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 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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