MR. JEFFERY SCOTT HERMAN LPC SPE MA NPI 1356474639

NPI Information

NPI: 1356474639
Provider Name: MR. JEFFERY SCOTT HERMAN, LPC, SPE, MA
Classification: Psychologist - 103TH0100X
Entity Type: Individual

Specialization: Health Service

Address:
831 W JACKSON ST
COOKEVILLE, TN
ZIP 38501
Phone: (931) 520-4418
Get Directions

MR. Jeffery Scott Herman, LPC, SPE, MA is a health service psychologist in Cookeville, TN. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). MR. Jeffery Scott Herman, LPC, SPE, MA NPI is 1356474639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

831 W JACKSON ST
COOKEVILLE, TN
ZIP 38501-940
Phone: (931) 520-4418
Fax: (866) 662-9843

The enumeration date for this NPI number is 3/14/2007 and was last updated on 2/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC790	TENNESSEE	No
2	103TH0100X	Psychologist	Health Service	PE1585	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5441689	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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