Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILLIP GENE FELLWOCK, PSY.D.
Active Sole ProprietorDR. PHILLIP GENE FELLWOCK, PSY.D. is a Psychologist healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1396076923 is currently active in the NPPES registry. Verify at CMS.
Psychologist · FORT LEONARD WOOD, MO
Registration Details
- NPI Number
- 1396076923
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 21, 2010 (16.604496681919 yrs)
- Last Updated
- Feb 9, 2023
- License
-
2008029040 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4430 MISSOURI AVEFORT LEONARD WOOD, MO, 654739098Browse MO providers · Browse ZIP 65473
- Phone
- 5735960417
- Primary Specialty
-
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.