| Wayne Wesley Phillips, | |
|
1301 California St Ste 301, Redlands, CA 92374-2910 | |
| (760) 881-8498 | |
| (760) 881-8498 |
| Full Name | Wayne Wesley Phillips |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 1301 California St Ste 301, Redlands, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356505598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT105047 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Wesley Phillips, 17053 E Foothill Blvd, Fontana, CA 92335 Ph: (760) 881-8498 | Wayne Wesley Phillips, 1301 California St Ste 301, Redlands, CA 92374-2910 Ph: (760) 881-8498 |
Nyeesha Hale-alvarez, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1902 Orange Tree Ln Ste 200, Redlands, CA 92374 Phone: 909-798-6200 Fax: 909-798-6210 | |
Marissa Nicole Butcher, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20 W Lugonia Ave, Redlands, CA 92374 Phone: 909-936-8090 | |
Ms. Jennifer Marie Ziino, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1902 Orange Tree Ln Ste 200, Redlands, CA 92374 Phone: 909-686-1638 | |
Adina P. Silva, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1812 W Park Ave, Redlands, CA 92373 Phone: 909-748-0259 | |
Lorraine Louise Sears, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 31780 Avenue N, Redlands, CA 92373 Phone: 949-300-6613 | |
Raquel Gonzalez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1323 W Colton Ave, Suite 100, Redlands, CA 92374 Phone: 909-792-0747 Fax: 909-792-1057 | |
Emelly Rosspencer, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 47 1st St, Redlands, CA 92373 Phone: 909-855-7081 |