Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 225C00000X | Rehabilitation Counselor |
NPI | 1184240384 |
---|---|
Provider Name | Dr. Patsy Joan Perry |
First Address | Fresno, CA 93727-1526 |
Second Address | Fresno, CA 93710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2020 |
Last Update Date | 07/07/2020 |