Whalio Doctors

NPI 1700995677

Philip K Mothersead, PHD

Practitioner Clinical Neuropsychologist Springfield, MO

Practice location

Address
1235 E Cherokee St, Springfield, MO 65804-2203
Phone
(417) 820-2000

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 01173 (MO)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 01173 (MO)

Registry record

NPI
1700995677
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Aug 2006
Record last updated
17 Jul 2007

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.