NPI 1396076923

Phillip Gene Fellwock, PSYD

Practitioner Psychologist Fort Leonard Wood, MO

Practice location

Address: 4234 Illinois Ave, Fort Leonard Wood, MO 65473-9098
Phone: (417) 235-2320

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 2008029040 (MO)

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Registry record

NPI: 1396076923
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jan 2010
Record last updated: 17 Apr 2026

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.