Individual
DR. PHILLIP GENE FELLWOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(417) 235-2320
Mailing address
4234 ILLINOIS AVE, FORT LEONARD WOOD, MO 65473-9098
(417) 235-2320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2008029040
MO
Other
Enumeration date
01/21/2010
Last updated
04/17/2026
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