Healthcare Provider Details

I. General information

NPI: 1568021301
Provider Name (Legal Business Name): ANNE MARIE KESHANI PERERA PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 S CONGRESS AVE STE 315
DELRAY BEACH FL
33445-6300
US

IV. Provider business mailing address

1615 S CONGRESS AVE STE 315
DELRAY BEACH FL
33445-6300
US

V. Phone/Fax

Practice location:
  • Phone: 202-618-2470
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY13093
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY200001687
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: