Herman, Jeffery Scott

Herman, Jeffery Scott is an sole proprietor health care provider with primary practice located at 831 W Jackson St , Cookeville TN 38501-5940. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Health Service is his primary health care specialty. Herman, Jeffery Scott can be contacted via phone (931) 520-4418.

Contact Information

Primary practice address
831 W Jackson St Cookeville TN 38501-5940
Phone: (931) 520-4418
Fax: (866) 662-9843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC790 Tennessee
Behavioral Health & Social Service Providers / Health Service 103TH0100X PE1585 Tennessee

Profile Details

NPI number 1356474639
LBN Legal business name Herman, Jeffery Scott
Credentials LPC, SPE, MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Feb 22nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356474639 NPPES
Tennessee MEDICAID 5441689

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