MEDICARE: DR. ROGER W PERRY PHD

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	20040411A	IN

General Provider Information

NPI Number	:	1942491832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROGER W PERRY PHD

Provider Business Mailing Address
First Line	:	9959 PARKWAY DR
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46037-9332
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	546 E 17TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1702
Country	:	US
Telephone Number	:	317-536-1225
Fax Number	:

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

Provider Enumeration Date	:	08/06/2007
Last Update Date	:	08/06/2007

Similar Medicare Providers

1114111788 — GIDEON'S GATE MANAGMENT AND TECHNICAL SERVICES
Practice Location Address:

546 E 17TH ST
INDIANAPOLIS, IN
46202-1702

Practice Phone: 317-536-1225
Practice Fax:

1821070814 — DR. PETER S COONEY MD
Practice Location Address:

2050 W 56TH ST
INDIANAPOLIS, IN
46228-1702

Practice Phone: 317-989-3438
Practice Fax:

1295779650 — HOOK-SUPERX LLC
Practice Location Address:

2182 N MITTHOEFFER RD
INDIANAPOLIS, IN
46229-1702

Practice Phone: 317-897-6890
Practice Fax:

1154550143 — VITALITY HEALTH GROUP
Practice Location Address:

1702 W MICHIGAN ST
INDIANAPOLIS, IN
46222-3983

Practice Phone: 317-652-2147
Practice Fax:

1427907260 — LISA SEVILLA
Practice Location Address:

600 BARNHILL DR
INDIANAPOLIS, IN
46202-5218

Practice Phone: 317-274-2806
Practice Fax:

1730038456 — NICHOLE ELIZABETH HAEG PHARMD
Practice Location Address:

575 RILEY HOSPITAL DR STE 4300
INDIANAPOLIS, IN
46202-5272

Practice Phone: 317-944-7010
Practice Fax:

Directions to “ DR. ROGER W PERRY PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.