| NPI | 1619169505 |
|---|---|
| Professional Name | PHYLLIS S TOLLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0700X Psychologist Adult Development & Aging (Licence: IL 071-007067) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2015-09-01 |