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NPI Code Detail

MEDICARE: DR. JUDITH MCKAY PERRY PHD, LPC

MEDICARE:  DR. JUDITH MCKAY PERRY  PHD, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC002464GA

General Provider Information

NPI Number : 1033526017
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDITH MCKAY PERRY PHD, LPC
Provider Business Mailing Address
First Line : 1530 DUNWOODY VILLAGE PKWY
Second Line : SUITE 207
City : ATLANTA
State : GA
Zip : 30338-4100
Country : US
Telephone Number : 770-305-0990
Fax Number : 770-395-6511
Provider Business Practice Location Address
First Line : 1530 DUNWOODY VILLAGE PKWY
Second Line : SUITE 207
City : ATLANTA
State : GA
Zip : 30338-4100
Country : US
Telephone Number : 770-305-0990
Fax Number : 770-395-6511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2014
Last Update Date : 07/22/2014

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