Provider Demographics
NPI:1487984795
Name:DR. SHARON PHILLIPS & ASSOCIATES, LLC
Entity type:Organization
Organization Name:DR. SHARON PHILLIPS & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:513-860-0801
Mailing Address - Street 1:8050 BECKETT CENTER DR
Mailing Address - Street 2:SUITE 216
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-5017
Mailing Address - Country:US
Mailing Address - Phone:513-860-0801
Mailing Address - Fax:513-860-0828
Practice Address - Street 1:8050 BECKETT CENTER DR
Practice Address - Street 2:SUITE 216
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5017
Practice Address - Country:US
Practice Address - Phone:513-860-0801
Practice Address - Fax:513-860-0828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5222103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty