Phillips, Yvette Michelle

Phillips, Yvette Michelle is an individual health care provider with primary practice located at 6612 N Riverside Dr Unit 140 , Fort Worth TX 76137-6664. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Phillips, Yvette Michelle can be contacted via phone (817) 306-9770.

Contact Information

Primary practice address
6612 N Riverside Dr Unit 140 Fort Worth TX 76137-6664
Phone: (817) 306-9770
Fax: (817) 306-9770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 002675 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 63253 Texas

Profile Details

NPI number 1265479562
LBN Legal business name Phillips, Yvette Michelle
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated May 20th, 2009 - about 16 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 1265479562 NPPES
Missouri MEDICAID 493990618
Missouri Other 258635-000
Missouri Other 7160205
Missouri Other 63253
Missouri MEDICAID 188361301
Missouri Other 188424
Missouri Other 33327021
Missouri Other 34873012

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