Doctor Name: | DR. SHELLEY PEERY |
NPI Number: | 1215056460 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 016257 |
Business Practice Address: | 1199 Bush St Suite 350 San Francisco, CA - 941095999 |
Business Phone Number: | 4152186915 |
Business Fax Number: | 4155616759 |
Mailing Address: | 350 Sansome St, Suite 1000 SAN FRANCISCO |
State: | CA |
Postal Code: | 941041304 |
Phone Number: | 4152186915 |
Fax Number: | 4155616759 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 08/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 016257 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |