Organization
JOHN B. AVERITT, PH.D., LICENSED PSYCHOLOGIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BARRY AVERITT PH.D. (LICENSED PSYCHOLOGIST)
(931) 526-2722
Entity
Organization
Contact information
Practice address
100 W 4TH ST, SUITE 300, COOKEVILLE, TN 38501-2448
(931) 526-2722
(931) 526-6478
Mailing address
100 W 4TH ST, SUITE 300, COOKEVILLE, TN 38501-2448
(931) 526-2722
(931) 526-6478
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
P1360
TN
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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