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NPI Code Detail

MEDICARE: LINDA MAY PERRY LCSW

MEDICARE: LINDA MAY PERRY LCSW
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
1101Y00000XCounselor575AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104951300
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA MAY PERRY LCSW
Provider Business Mailing Address
First Line : 506 LAKE ST
Second Line :
City : KENAI
State : AK
Zip : 99611-6937
Country : US
Telephone Number : 907-283-7501
Fax Number : 907-283-9006
Provider Business Practice Location Address
First Line : 506 LAKE ST
Second Line :
City : KENAI
State : AK
Zip : 99611-6937
Country : US
Telephone Number : 907-283-7501
Fax Number : 907-283-9006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 07/08/2007

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Directions to “ LINDA MAY PERRY LCSW” Practice Location

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