Individual
DR. JARED LYON SKILLINGS
Active
Individual
DR. JARED LYON SKILLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0810008181
VA
103T00000X
Psychologist
6301013341
MI
103TA0700X
Adult Development & Aging Psychologist
0810008181
VA
103TB0200X
Cognitive & Behavioral Psychologist
0810008181
VA
103TC0700X
Clinical Psychologist
Primary
0810008181
VA
103TC0700X
Clinical Psychologist
6301013341
MI
103TC2200X
Clinical Child & Adolescent Psychologist
0810008181
VA
103TF0000X
Family Psychologist
0810008181
VA
103TH0004X
Health Psychologist
0810008181
VA
103TH0004X
Health Psychologist
6301013341
MI
103TH0100X
Health Service Psychologist
0810008181
VA
103TH0100X
Health Service Psychologist
6301013341
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356508295
—
MI
Enumeration date
05/19/2008
Last updated
09/20/2025
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