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John B. Averitt, Ph.D., Licensed Psychologist

Clinic/Center, Adult Mental Health in Cookeville, TN. Organization (NPI-2).

NPI number1538568985
StatusActive
Last updated in NPPESAug 21, 2014

Details

NPI
1538568985
Entity type
Organization (NPI-2)
Legal business name
John B. Averitt, Ph.D., Licensed Psychologist
Organization subpart
No
Enumeration date
Aug 21, 2014
Last updated
Aug 21, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental HealthP1360TNYes

Practice location

100 W 4th St
Suite 300
Cookeville, TN 38501-2448

Phone 931-526-2722 · Fax 931-526-6478

Mailing address

100 W 4th St
Suite 300
Cookeville, TN 38501-2448

Phone 931-526-2722 · Fax 931-526-6478

Authorized official

John Barry Averitt
Licensed Psychologist
9315262722

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