Healthcare Provider Details

I. General information

NPI: 1801044706
Provider Name (Legal Business Name): LINDSAY ANNE PHILLIPS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 09/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SHERIDAN LANE
JEFFERSONVILLE PA
19403-3370
US

IV. Provider business mailing address

SHERIDAN LANE
NORRISTOWN PA
19403-3370
US

V. Phone/Fax

Practice location:
  • Phone: 484-333-2598
  • Fax:
Mailing address:
  • Phone: 484-333-2598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: