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Contact Information

SOUTHWEST FAMILY & CHILDRENS TESTING & THERAPY CLINIC
501 EMILY DRIVE
O'FALLON, IL62269
 Phone: 618-632-7400
 Fax: 618-632-8376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for SOUTHWEST FAMILY CHILDRENS TESTING THERAPY CLINIC · (Female)

NPI Number 1821207309
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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