| Doctor Name: | DR. MILDRED LEE PERRY |
| NPI Number: | 1245339035 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ED.D. |
| License Number: | PRC237 |
| Business Practice Address: | 6201 Greenbelt Rd Suite U- 4 Berwyn Heights, MD - 207402354 |
| Business Phone Number: | 2408934100 |
| Business Fax Number: | 3018434788 |
| Mailing Address: | Po Box 4734, UPPER MARLBORO |
| State: | MD |
| Postal Code: | 207750734 |
| Phone Number: | 2408934100 |
| Fax Number: | 3018434788 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PRC237 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |