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Mr. Earnest Ray Phillips JR., BA
Rehabilitation Practitioner in Pasadena, California
NPI 1194963009

Earnest Ray Phillips JR. is a Rehabilitation Practitioner based in Pasadena, CA. Earnest Ray Phillips JR. practices in Pasadena, CA and has the professional credentials of BA. The NPI Number for Earnest Ray Phillips JR. is 1194963009 and holds a License No. (California).

The current practice location address for Earnest Ray Phillips JR. is 940 Avenue 64, Pasadena, CA and can be reached out via phone at 323-254-2274 and via fax at 323-254-9087.

Location: 940 Avenue 64, Pasadena, CA, 91105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194963009
Provider Name
Earnest Ray Phillips JR.
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
940 Avenue 64, Pasadena, CA, 91105
Phone Number
323-254-2274
Fax Number
323-254-9087
Provider Enumeration Date
01/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
940 Avenue 64
City
Pasadena
State
California
Zip
91105
Phone Number
323-254-2274
Fax Number
323-254-9087
person
Provider Business Mailing Address Details
Address
940 Avenue 64
City
Pasadena
State
California
Zip
91105
Phone Number
323-254-2274
Fax Number
323-254-9087
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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