NPI 1053692020
Jay Robert Phillippi, PHD
Practice location
- Address
- 112 University Dr N STE 300, Fargo, ND 58102
- Phone
- (701) 866-3641
- Fax
- (701) 660-1071
- Mailing address
- 112 University Dr N STE 140, Fargo, ND 58102-4661
Registered specialties
Psychologist
Primary
Registry record
- NPI
- 1053692020
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Sep 2011
- Record last updated
- 10 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.