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NPI Code Detail

MEDICARE: SCOTT E PHILLIPS LMFT

MEDICARE: SCOTT E PHILLIPS LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist45831CA
2106H00000XMarriage & Family Therapist201683TX

General Provider Information

NPI Number : 1083744676
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT E PHILLIPS LMFT
Provider Business Mailing Address
First Line : 4412 BURNET RD
Second Line :
City : AUSTIN
State : TX
Zip : 78756-3319
Country : US
Telephone Number : 512-850-5208
Fax Number :
Provider Business Practice Location Address
First Line : 4412 BURNET RD
Second Line :
City : AUSTIN
State : TX
Zip : 78756-3319
Country : US
Telephone Number : 512-850-5208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 08/17/2011

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Directions to “ SCOTT E PHILLIPS LMFT” Practice Location

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