MEDICARE: DR. DON SCOTT HERRMANN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	3446	AZ

General Provider Information

NPI Number	:	1952728727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DON SCOTT HERRMANN PH.D.

Provider Business Mailing Address
First Line	:	7220 N 16TH ST STE I
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5253
Country	:	US
Telephone Number	:	602-824-8804
Fax Number	:	602-581-7181

Provider Business Practice Location Address
First Line	:	7220 N 16TH ST STE I
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5253
Country	:	US
Telephone Number	:	602-824-8804
Fax Number	:	602-581-7181

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2014
Last Update Date	:	01/18/2021

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