Dr. Stephanie Ann Perez
Clinical Psychologist
73 Port Watson St
Cortland
, New York 13045-3027
Dr. Stephanie Ann Perez
Clinical Psychologist
73 Port Watson St
Cortland
, New York 13045-3027
(607) 753-1648
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Stephanie Ann Perez
- 73 Port Watson St
- Cortland, NY
- Zip : 13045-3027
- Fax : (607) 753-1648
- Phone : (607) 753-6511
Second Address
- Dr. Stephanie Ann Perez
- 73 Port Watson St
- Cortland, NY
- Zip : 13045-3027
- Fax : (607) 753-1648
- Phone : (607) 753-6511
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 012191 | NY |
| Y | 103TC0700X | Clinical Psychologist | 012191 | NY |
National Provider Identifier
| NPI | 1003028341 |
|---|---|
| Provider Name | Dr. Stephanie Ann Perez |
| First Address | Cortland, NY 13045-3027 |
| Second Address | Cortland, NY 13045-3027 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 040728-000-060 | FIDELIS (01) | NY |
| 246-683 | VALUE OPTIONS NUMBER (01) | NY |
| 688-5837 | VALUE OPTIONS GHI PIN NUM (01) | NY |
| S12191-3 | WCB AUTH # (01) | NY |
| S23468 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.