Jacob Fantin, PLP
Jacob Fantin, PLP is a Clinical Psychologist in Monett, Missouri. Qualified in 2022, 4 years ago. Practices with Clark Community Mental Health Center, a 24-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 4
- Licensed in
- MO
- In the registry since
- 2022
Practice location Address checks out
1701 N Central AveMonett, MO 65708-9999
Phone: (417) 476-1000
Fax: (417) 476-1082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 2022038992 (MO) |
|---|
Record details
| NPI number | 1538883459 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PLP |
| Sole proprietor | No |
| NPI enumerated | October 4, 2022 |
| Last updated in NPPES | October 4, 2022 |
| Certification date | September 30, 2022 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Clark Community Mental Health Center — 24 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Monett
-
Mr. Matt Costley, PSYD
2200 E Cleveland St, Monett, MO 65708-6149 · (417) 236-2600
-
Jennifer Webb, PLP
1701 N Cental, Monett, MO 65708-6570 · (417) 476-1000