Provider Demographics
NPI:1649953480
Name:PHILLIPS, HAILEY CROWE (SLP)
Entity type:Individual
Prefix:MRS
First Name:HAILEY
Middle Name:CROWE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 THOMPSON DR
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5901
Mailing Address - Country:US
Mailing Address - Phone:830-257-1108
Mailing Address - Fax:830-257-1137
Practice Address - Street 1:270 THOMPSON DR
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5901
Practice Address - Country:US
Practice Address - Phone:830-257-1108
Practice Address - Fax:830-257-1137
Is Sole Proprietor?:No
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120259235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist