| Southwest Family & Childrens Testing & Therapy Clinic | |
|
501 Emily Drive Ofallon IL 62269 | |
| (618) 632-7400 | |
| (618) 632-8376 |
| Full Name | Southwest Family & Childrens Testing & Therapy Clinic |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 501 Emily Drive, Ofallon, Illinois |
| Authorized Official Name and Position | Philip L Eckert (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6186327400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Family & Childrens Testing & Therapy Clinic Po Box 339 501 Emily Drive Ofallon IL 62269 Ph: (618) 632-7400 | Southwest Family & Childrens Testing & Therapy Clinic 501 Emily Drive Ofallon IL 62269 Ph: (618) 632-7400 |
| NPI Number | 1821207309 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821207309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |