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Charlene Phillips

Psychologist, Intellectual & Developmental Disabilities in Magnolia, DE. Individual provider (NPI-1).

NPI number1063019784
StatusActive
Last updated in NPPESOct 6, 2020

Details

NPI
1063019784
Entity type
Individual (NPI-1)
Name
Charlene Phillips
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 6, 2020
Certification date
Oct 6, 2020
Last updated
Oct 6, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TM1800X Psychologist, Intellectual & Developmental Disabilities–DEYes

Practice location

702 Woodlytown Rd
Magnolia, DE 19962-1622

Phone 302-573-1231

Mailing address

702 Woodlytown Rd
Magnolia, DE 19962-1622

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Intellectual & Developmental Disabilities Psychologist providers in Magnolia, DE

All 8 Intellectual & Developmental Disabilities Psychologist providers in Magnolia · All 68 providers in Magnolia

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