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Philip Self, QMHS

NPI 1356001911 · on the registry since 2021

Practice

Address
2541 Panther Dr Ne
New Lexington, OH 43764
Phone
(740) 342-4192
Fax
(740) 773-4024
Clinicians at this address
22

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio