Individual
DR. JEREMY BURR SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
211 S 8TH ST, COLUMBIA, MO 65201-4868
(573) 882-4677
(573) 882-4583
Mailing address
211 S 8TH ST, COLUMBIA, MO 65201-4868
(573) 882-4677
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
R0408
MO
103TC0700X
Clinical Psychologist
Primary
R0408
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490085012
—
MO
Enumeration date
07/24/2006
Last updated
10/05/2022
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