Doctor Name: | MR. CHRISTOPHER MICHAEL PERRY |
NPI Number: | 1063597748 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 3652 |
Business Practice Address: | 12203 S 98th East Ave Bixby, OK - 740083438 |
Business Phone Number: | 9186983077 |
Business Fax Number: | 9187562126 |
Mailing Address: | 12203 S 98th East Ave, BIXBY |
State: | OK |
Postal Code: | 740083438 |
Phone Number: | 9186983077 |
Fax Number: | 9187562126 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3652 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |