Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
Regional Services, COXHEALTH PSYCHOLOGICAL SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK SHAMEL (VICE PRESIDENT)
(417) 269-4368
Entity
Organization
Contact information
Practice address
3525 S NATIONAL AVE STE 206, SPRINGFIELD, MO 65807-7315
(417) 269-6891
(417) 269-5595
Mailing address
PO BOX 7411626, CHICAGO, IL 60674-5626
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
08/15/2019
Last updated
06/17/2025
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