DR. Jared Philip Pingleton, PSY,D,

NPI #1891976254 in Branson, Missouri

Provider Information

NPI Number: 1891976254
Entity Type: Individual
Name: DR. Jared Philip Pingleton, PSY,D,
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY,D,
Enumeration Date: Nov 14, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 2527 STATE HIGHWAY 248
City: Branson
State: Missouri
ZIP Code: 65616-9240
Phone: (417) 339-4041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Pastoral — Pastoral	101YP1600X
Psychologist - Clinical — Clinical	103TC0700X	Primary
Psychologist - Family — Family	103TF0000X
Marriage & Family Therapist	106H00000X

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