Individual provider · Type 1 NPI

Jerrell Lee Driver, PhD

Clinical Psychologist · Jackson, MO

NPI number 1912908963 Active

Practice location

2387 W Jackson Blvd, Suite B
Jackson, MO 63755-3024

Fax (573) 204-7771

Mailing address

Post Office Box 1642
Cape Girardeau, MO 63702-1642

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPY 00099 (MO)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1912908963

Jerrell Lee Driver, PhD's National Provider Identifier is 1912908963, issued on Aug 2, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Jackson, MO. The record was last updated on Sep 10, 2011.