| Doctor Name: | PATRICIA PERRY |
| NPI Number: | 1083656292 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 5446 |
| Business Practice Address: | 2139 Beaver Valley Rd Fairborn, OH - 453248806 |
| Business Phone Number: | 9378783497 |
| Business Fax Number: | |
| Mailing Address: | 2139 Beaver Valley Rd, FAIRBORN |
| State: | OH |
| Postal Code: | 453248806 |
| Phone Number: | 9378783497 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 5446 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |