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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

NPI # 1821207309
LBN Legal business name SOUTHWEST FAMILY & CHILDRENS TESTING & THERAPY CLINIC
Authorized official PHILIP ECKERT - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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