Individual
DR. JERALD DELBERT FORSYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
101 S MAIN ST, ROGERSVILLE, MO 65742-9357
(417) 753-9404
(417) 753-9137
Mailing address
2066 W WILLOW LAKES CV, SPRINGFIELD, MO 65810-1562
(417) 844-8423
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01675
MO
Other
Enumeration date
10/13/2006
Last updated
04/28/2021
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