MEDICARE: DR. MARIA PERRY PHD

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	103T00000X	Psychologist	35SI00529900	NJ

General Provider Information

NPI Number	:	1841690013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA PERRY PHD

Provider Business Mailing Address
First Line	:	5 TOWNSQUARE
Second Line	:	SUITE B
City	:	CHATHAM
State	:	NJ
Zip	:	07928-2568
Country	:	US
Telephone Number	:	862-242-0026
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 TOWNSQUARE
Second Line	:	SUITE B
City	:	CHATHAM
State	:	NJ
Zip	:	07928-2568
Country	:	US
Telephone Number	:	862-242-0026
Fax Number	:

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

Provider Enumeration Date	:	08/25/2014
Last Update Date	:	08/25/2014

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Directions to “ DR. MARIA PERRY PHD” Practice Location

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