Dr Faith Lucille Phillips, PHD is a
Psychologist - Clinical Child & Adolescent based in Broken Bow, Oklahoma. Dr Faith Lucille Phillips is licensed to practice in Oklahoma (license number 513) and her current practice location is
411 S. Park Drive, Broken Bow, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 584-5550.
NPI number for Dr Faith Lucille Phillips is 1699925867 and her current mailing address is 411 S. Park Drive, Broken Bow, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699925867.
Healthcare Provider's Profile
| Full Name | Dr Faith Lucille Phillips |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
|---|
| Location | 411 S. Park Drive, Broken Bow, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699925867
- Provider Enumeration Date: 09/24/2008
- Last Update Date: 07/25/2018
Medical Identifiers
Medical identifiers for Dr Faith Lucille Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699925867 | NPI | - | NPPES |
| 100837660A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 513 (Oklahoma) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 513 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Faith Lucille Phillips is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Faith Lucille Phillips, PHD
411 S. Park Drive,
Broken Bow, OK 74728-3331
Ph: (580) 584-5550 | Dr Faith Lucille Phillips, PHD
411 S. Park Drive,
Broken Bow, OK 74728
Ph: (580) 584-5550 |
Reviews and Comments