Doctor Name: | JOSEPH L PERL |
NPI Number: | 1164537585 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 0067161 |
Business Practice Address: | 1732 Main St Pleasant Valley, NY - 125695611 |
Business Phone Number: | 8456358224 |
Business Fax Number: | 8456351109 |
Mailing Address: | 7 Talbot Dr, PLEASANT VALLEY |
State: | NY |
Postal Code: | 125697624 |
Phone Number: | 8456358224 |
Fax Number: | 8456351109 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 04/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 0067161 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |