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NPI Code Detail

MEDICARE: LESSIE PERRY,PHD. & ASSOCIATES

MEDICARE: LESSIE PERRY,PHD. & ASSOCIATES
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
1101YM0800XMental Health Counselor9203TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
214804400OTHERTXMAGELLAN
32951LCOTHERTXBLUECROSSBLUESHIELD

General Provider Information

NPI Number : 1144394594
Entity Type Code : Organization
Provider Name (Legal Business Name) : LESSIE PERRY,PHD. & ASSOCIATES
Provider Business Mailing Address
First Line : 920 N LOCUST ST
Second Line :
City : DENTON
State : TX
Zip : 76201-2954
Country : US
Telephone Number : 940-383-1745
Fax Number :
Provider Business Practice Location Address
First Line : 920 N LOCUST ST
Second Line :
City : DENTON
State : TX
Zip : 76201-2954
Country : US
Telephone Number : 940-383-1745
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : LESSIE PERRY
Credential : PH.D.
Telephone Number : 940-383-1745
Provider Enumeration Date : 11/19/2006
Last Update Date : 11/21/2008

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