MEDICARE: GREGORY PERRI PSY.D.

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
1	103G00000X	Clinical Neuropsychologist	129656	KY

General Provider Information

NPI Number	:	1265544415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY PERRI PSY.D.

Provider Business Mailing Address
First Line	:	3420 STONY SPRING CIR
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40220-5436
Country	:	US
Telephone Number	:	502-383-9885
Fax Number	:

Provider Business Practice Location Address
First Line	:	7984 NEW LA GRANGE RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40222-4718
Country	:	US
Telephone Number	:	502-426-2777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/01/2024

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