Healthcare Provider Details

I. General information

NPI: 1710824370
Provider Name (Legal Business Name): LOCKLIE PHILLIPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1459 TOBE STALCUP RD
MURPHY NC
28906-2174
US

IV. Provider business mailing address

2230 AIRPORT RD
MARBLE NC
28905-8875
US

V. Phone/Fax

Practice location:
  • Phone: 828-837-2831
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30002762
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: