Provider Demographics
NPI:1285324913
Name:PHILLIPS, RYAN JAMES (AUD)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:JAMES
Last Name:PHILLIPS
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 WEST ST
Mailing Address - Street 2:
Mailing Address - City:EAST PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15112-1501
Mailing Address - Country:US
Mailing Address - Phone:740-398-8842
Mailing Address - Fax:
Practice Address - Street 1:275 CLAIRTON BLVD STE 400
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15236-1426
Practice Address - Country:US
Practice Address - Phone:412-647-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist