DR. Jerrell Lee Driver, PHD

NPI #1912908963 in Jackson, Missouri

Provider Information

NPI Number
1912908963
Entity Type
Individual
Name
DR. Jerrell Lee Driver, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PHD
Enumeration Date
Aug 2, 2005
Last Updated
Sep 10, 2011

Practice Location

Address
2387 W JACKSON BLVD
Address 2
SUITE B
ZIP Code
63755-3024
Phone
(573) 204-7771

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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