OrganizationActive
Faith L. Phillips, PH.D., PLLC
NPI 1104079474 · Clinical Child & Adolescent Psychologist · Broken Bow, OK
Provider details
- NPI number
- 1104079474
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Faith Phillips, Psychologist(580) 584-5550
- License
- 513 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
411 S. Park Drive
Broken Bow, OK 74728-3331
Phone: (580) 584-5550
Fax: (866) 584-1223
Approximate (ZIP-level) locationGet directions
Mailing address
411 S. Park Drive
Broken Bow, OK 74728-3331
Registry dates
- Enumerated
- 2008-10-29
- Last updated
- 2012-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.