Healthcare Provider Details

I. General information

NPI: 1447530332
Provider Name (Legal Business Name): FAITH PEREZ MCGOWAN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FAITH MICHELLE PEREZ M.S.

II. Dates (important events)

Enumeration Date: 08/23/2011
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LANDSTUHL REGIONAL MEDICAL CENTER, UNIT 33100
APO AE
09180-3100
US

IV. Provider business mailing address

LANDSTUHL REGIONAL MEDICAL CENTER, UNIT 33100
APO AE
09180-3100
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-6311
  • Fax:
Mailing address:
  • Phone: 314-590-6311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1416
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5898
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: