Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 4475 | AZ |
Y | 103TC0700X | Clinical Psychologist | 4475 | AZ |
NPI | 1003154972 |
---|---|
Provider Name | Dr. Adam Clay Perkins |
First Address | Tacoma, WA 98431-0001 |
Second Address | Tacoma, WA 98431-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2013 |
Last Update Date | 13/06/2019 |