Provider Demographics
NPI:1952728727
Name:HERRMANN, DON SCOTT (PHD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:SCOTT
Last Name:HERRMANN
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 1:7220 N 16TH ST STE I
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5253
Mailing Address - Country:US
Mailing Address - Phone:602-824-8804
Mailing Address - Fax:602-581-7181
Practice Address - Street 1:7220 N 16TH ST STE I
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5253
Practice Address - Country:US
Practice Address - Phone:602-824-8804
Practice Address - Fax:602-581-7181
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3446103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist