MEDICARE: MR. STEPHEN R PERME M.A., L.M.H.C.

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	101YM0800X	Mental Health Counselor	9118	FL

General Provider Information

NPI Number	:	1477712537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEPHEN R PERME M.A., L.M.H.C.

Provider Business Mailing Address
First Line	:	1230 S FEDERAL HWY
Second Line	:	SUITE 102
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6000
Country	:	US
Telephone Number	:	561-398-8989
Fax Number	:

Provider Business Practice Location Address
First Line	:	1230 S FEDERAL HWY
Second Line	:	SUITE 102
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6000
Country	:	US
Telephone Number	:	561-398-8989
Fax Number	:

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

Provider Enumeration Date	:	06/04/2008
Last Update Date	:	06/04/2008

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