Provider Demographics
NPI:1417001819
Name:HERVEY, AARON SCOTT (PHD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:SCOTT
Last Name:HERVEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 EAST FRANKLIN ST
Mailing Address - Street 2:BLDG 400
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5865
Mailing Address - Country:US
Mailing Address - Phone:919-933-2000
Mailing Address - Fax:919-933-2830
Practice Address - Street 1:1829 EAST FRANKLIN ST
Practice Address - Street 2:BLDG 400
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5865
Practice Address - Country:US
Practice Address - Phone:919-933-2000
Practice Address - Fax:919-933-2830
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 21292103G00000X
NC3624103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist