| John B. Averitt, Ph.d., Licensed Psychologist | |
|
100 W 4th St Suite 300 Cookeville TN 38501-2448 | |
| (931) 526-2722 | |
| (931) 526-6478 |
| Full Name | John B. Averitt, Ph.d., Licensed Psychologist |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 100 W 4th St, Cookeville, Tennessee |
| Authorized Official Name and Position | John Barry Averitt (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9315262722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John B. Averitt, Ph.d., Licensed Psychologist 100 W 4th St Suite 300 Cookeville TN 38501-2448 Ph: (931) 526-2722 | John B. Averitt, Ph.d., Licensed Psychologist 100 W 4th St Suite 300 Cookeville TN 38501-2448 Ph: (931) 526-2722 |
| NPI Number | 1538568985 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538568985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | P1360 (Tennessee) | Primary |
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