MEDICARE: MS. LENORE CATHERINE PERROTT M.S.

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	PS007368L	PA

General Provider Information

NPI Number	:	1235359613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LENORE CATHERINE PERROTT M.S.

Provider Business Mailing Address
First Line	:	175 STRAFFORD AVENUE
Second Line	:	SUITE ONE
City	:	WAYNE
State	:	PA
Zip	:	19087-3340
Country	:	US
Telephone Number	:	610-975-4434
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 STRAFFORD AVE
Second Line	:	SUITE ONE
City	:	WAYNE
State	:	PA
Zip	:	19087-3317
Country	:	US
Telephone Number	:	610-975-4434
Fax Number	:

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

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	07/08/2007

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