NPIMap

Steven Phillips, M.S.

Individual provider Active NPI Speech-Language Pathologist · Marlton, NJ

NPI 1285793091 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285793091
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
41YS00407000 (NJ)
Practice address
9004 Lincoln Dr W Ste F
Marlton, NJ 08053-3206
Phone
(856) 988-1160
Fax
(856) 988-1183
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41YS00407000NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary'S Place Pediatric Rehab, Inc. Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00407000 NJ Yes

Addresses

Primary practice location

9004 Lincoln Dr W Ste F
Marlton, NJ 08053-3206

Mailing address

9004 Lincoln Dr W Ste F
Marlton, NJ 08053-3206
Phone (856) 988-1160

Other providers in Marlton, NJ

All providers in Marlton, NJ · Speech-Language Pathologist in New Jersey

Sources for this page

Verify at the official NPI Registry.