Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRELL LEE DRIVER, PHD
Active Sole ProprietorDR. JERRELL LEE DRIVER, PHD is a Clinical Psychologist healthcare provider located in JACKSON, Missouri. NPI 1912908963 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · JACKSON, MO
Registration Details
- NPI Number
- 1912908963
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2005 (21.078684207957 yrs)
- Last Updated
- Sep 10, 2011
- License
-
PY 00099 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2387 W JACKSON BLVDSUITE BJACKSON, MO, 637553024Browse MO providers · Browse ZIP 63755
- Phone
- 5732047771
- Fax
- 5732047771
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in JACKSON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. KAREN ELENA LEE | PSYD | 1568491959 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.