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Contact Information

WALTOR M PHILLIPS, PH D
415 MIDDLEBURY ROAD
MIDDLEBURY, CT06762
 Phone: 203-758-8333
 Fax: 203-758-8333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WALTOR M PHILLIPS · (Male)

NPI # 1013081819
Status Active
Credentials PH D
Entity Individual
Enumeration date 11/20/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 621
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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