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NPI Code Detail

MEDICARE: EMILY ELIZABETH PERRY MSW

MEDICARE:   EMILY ELIZABETH PERRY  MSW
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
1104100000XSocial Worker33005149AIN

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 : 1417046954
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ELIZABETH PERRY MSW
Provider Business Mailing Address
First Line : 618 N HIGH SCHOOL RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46214-3684
Country : US
Telephone Number : 317-381-0355
Fax Number : 317-381-0356
Provider Business Practice Location Address
First Line : 618 N HIGH SCHOOL RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46214-3684
Country : US
Telephone Number : 317-381-0355
Fax Number : 317-381-0356
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 05/06/2008

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Directions to “ EMILY ELIZABETH PERRY MSW” Practice Location

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