Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 6301013910 | MI |
NPI | 1083862536 |
---|---|
Provider Name | Lori J. Perpich |
First Address | Brighton, MI 48116-9117 |
Second Address | Ann Arbor, MI 48104-4532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 08/09/2008 |