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NPI Code Detail

MEDICARE: MRS. SARAH ELISE PHILLIPS CCC-SLP

MEDICARE: MRS. SARAH ELISE PHILLIPS CCC-SLP
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
1235Z00000XSpeech-Language Pathologist113580TX

General Provider Information

NPI Number : 1528725371
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH ELISE PHILLIPS CCC-SLP
Provider Business Mailing Address
First Line : 4814 JARVIS ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78412-2341
Country : US
Telephone Number : 979-285-7264
Fax Number :
Provider Business Practice Location Address
First Line : 801 LEOPARD ST
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78401-2421
Country : US
Telephone Number : 361-695-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2021
Last Update Date : 11/29/2021

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Directions to “ MRS. SARAH ELISE PHILLIPS CCC-SLP” Practice Location

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