MEDICARE: AMY MICHELLE PHILLIPS M.S.

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
1	235Z00000X	Speech-Language Pathologist	2020028775	MO

General Provider Information

NPI Number	:	1467864629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MICHELLE PHILLIPS M.S.

Provider Business Mailing Address
First Line	:	315 E 39TH ST APT 127
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-1530
Country	:	US
Telephone Number	:	785-324-1090
Fax Number	:

Provider Business Practice Location Address
First Line	:	888 HAINES STE 230
Second Line	:
City	:	LIBERTY
State	:	MO
Zip	:	64068-1008
Country	:	US
Telephone Number	:	816-797-9690
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2014
Last Update Date	:	02/18/2025

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Directions to “ AMY MICHELLE PHILLIPS M.S.” Practice Location

Language	Start Address	Practice Location

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