Provider Demographics
NPI:1619127222
Name:PHILLIPS, PAULA SUZANNE (MA, F-AAA)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:SUZANNE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:MA, F-AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7704 WETHERSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5515
Mailing Address - Country:US
Mailing Address - Phone:513-846-5324
Mailing Address - Fax:
Practice Address - Street 1:7704 WETHERSFIELD DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5515
Practice Address - Country:US
Practice Address - Phone:513-846-5324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-01287237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter