Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 20041644A | IN |
N | 103TC0700X | Clinical Psychologist | 20041644A | IN |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
Y | 103G00000X | Clinical Psychologist | PSY0003175 | GA |
Y | 103TC0700X | Clinical Psychologist | PSY0003175 | GA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 103TF0000X | Family Psychologist | ||
N | 103TS0200X | School Psychologist |
NPI | 1194975433 |
---|---|
Provider Name | Alan Richard Scheuermann |
First Address | Clarksville, TN 37043-3847 |
Second Address | Apo, AE 09112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2008 |
Last Update Date | 23/09/2008 |