Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
CoxHealth Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB M MCWAY (SR VICE-PRESIDENT & CFO)
(417) 269-8811
Entity
Organization
Contact information
Practice address
3800 S NATIONAL AVE, STE. 770, SPRINGFIELD, MO 65807-5209
(417) 269-6891
(417) 269-5595
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
03/27/2007
Last updated
02/05/2019
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