IndividualActive
Faith Phillips, PH.D.
NPI 1699925867 · Clinical Child & Adolescent Psychologist · Broken Bow, OK
Provider details
- NPI number
- 1699925867
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 513 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
411 S. Park Drive
Broken Bow, OK 74728
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
- 2008-09-24
- Last updated
- 2018-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.