Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB FANTIN, PLP
ActiveJACOB FANTIN, PLP is a Clinical Psychologist healthcare provider located in MONETT, Missouri. NPI 1538883459 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MONETT, MO
Registration Details
- NPI Number
- 1538883459
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2022 (3.8342842227977 yrs)
- Last Updated
- Oct 4, 2022
- License
-
2022038992 (MO)
Practice Information
- Address
-
1701 N CENTRAL AVEMONETT, MO, 657089999Browse MO providers · Browse ZIP 65708
- Phone
- 4174761000
- Fax
- 4174761082
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in MONETT, MO
| Name | Credential | NPI |
|---|---|---|
| MR. MATT COSTLEY | PSY.D. | 1629225685 |
| MATTHEW J DZAK | PSYD, HSPP | 1841544681 |
| JENNIFER WEBB | PLP | 1386369973 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.