IndividualActive
Andrea Phillips, M.A., CCC-SLP
NPI 1912149196 · Speech-Language Pathologist · Watertown, NY
Provider details
- NPI number
- 1912149196
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 012436-1 (NY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1635 Ohio St
Watertown, NY 13601-3032
Phone: (315) 786-7285
Approximate (ZIP-level) locationGet directions
Mailing address
28518 County Route 192
Redwood, NY 13679-4136
Registry dates
- Enumerated
- 2009-04-02
- Last updated
- 2009-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.