Doctor Name: | MS. EVELYN MARIA PEREZ |
NPI Number: | 1083642292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 34003842A |
Business Practice Address: | 5599 N Dixie Hwy Oakland Park, FL - 333343406 |
Business Phone Number: | 9542297755 |
Business Fax Number: | 9542297643 |
Mailing Address: | 5599 N Dixie Hwy, OAKLAND PARK |
State: | FL |
Postal Code: | 333343406 |
Phone Number: | 9542297755 |
Fax Number: | 9542297643 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34003842A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |