Organization
JOHN B. AVERITT, PH.D., LICENSED PSYCHOLOGIST
Active
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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