Dr. Judy N Phillips
Psychologist
5230 Carroll Canyon Rd #320
San Diego
, California 92121
Dr. Judy N Phillips
Psychologist
5230 Carroll Canyon Rd #320
San Diego
, California 92121
(858) 558-0488
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Dr. Judy N Phillips
- 3525 Del Mar Heights Rd Box 113
- San Diego, CA
- Zip : 92130
- Fax : (858) 558-0488
- Phone : (619) 220-2525
Second Address
- Dr. Judy N Phillips
- 5230 Carroll Canyon Rd #320
- San Diego, CA
- Zip : 92121
- Fax : (858) 558-0488
- Phone : (619) 220-2525
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | PSY5643 | CA |
| Y | 103T00000X | Psychologist | PSY5643 | CA |
National Provider Identifier
| NPI | 1013075290 |
|---|---|
| Provider Name | Dr. Judy N Phillips |
| First Address | San Diego, CA 92130 |
| Second Address | San Diego, CA 92121 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00PL56430 | BLUE SHIELD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.