Individual
PHILIP M SWOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2018030708
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490045118
—
MO
Enumeration date
07/07/2017
Last updated
06/08/2023
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