Individual
PETER E JABERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1322 S CAMPBELL AVE, SPRINGFIELD, MO 65807-1445
(417) 865-8943
Mailing address
773 TIMBER RDG, NIXA, MO 65714-8961
(618) 203-1586
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2007028981
MO
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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