Provider Demographics
NPI:1457349656
Name:DON SCOTT HERRMANN PHD PLLC
Entity Type:Organization
Organization Name:DON SCOTT HERRMANN PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HERRMANN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:602-828-0749
Mailing Address - Street 1:10210 N 32ND ST
Mailing Address - Street 2:SUITE # 215
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-3827
Mailing Address - Country:US
Mailing Address - Phone:602-828-0749
Mailing Address - Fax:602-482-2155
Practice Address - Street 1:10210 N 32ND ST
Practice Address - Street 2:SUITE # 215
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3827
Practice Address - Country:US
Practice Address - Phone:602-828-0749
Practice Address - Fax:602-482-2155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3446103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty