Most Relevant Information
Provider Data
| NPI Number: | 1003030107 |
| Provider Name: | PHILIP LEE MCDONALD LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 13512 |
Most Important Dates
| Enumeration Date: | 04/12/2007 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1648 S 16TH ST
PHOENIX
AZ
850345340
Practice Location Phone/Fax
| Phone: | 7142351970 |
| Fax: |
Provider Mailing Location
1648 S 16TH ST
PHOENIX
AZ
850345340
Provider Mailing Phone/Fax
| Phone: | 7142351970 |
| Fax: |