Healthcare Provider Details

I. General information

NPI: 1417001819
Provider Name (Legal Business Name): AARON SCOTT HERVEY PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 11/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1829 EAST FRANKLIN ST BLDG 400
CHAPEL HILL NC
27514-5865
US

IV. Provider business mailing address

1829 EAST FRANKLIN ST BLDG 400
CHAPEL HILL NC
27514-5865
US

V. Phone/Fax

Practice location:
  • Phone: 919-933-2000
  • Fax: 919-933-2830
Mailing address:
  • Phone: 919-933-2000
  • Fax: 919-933-2830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY 21292
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number3624
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: