| Doctor Name: | MR. ANTHONY GENE PERRY |
| NPI Number: | 1275511578 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LGSW |
| License Number: | DP00939153 |
| Business Practice Address: | 5955 Zeamer Ave Attn: Credentials (cmc) Elmendorf Afb, AK - 995063702 |
| Business Phone Number: | 9075802181 |
| Business Fax Number: | 9075801776 |
| Mailing Address: | 19506 Ostovia Cir, EAGLE RIVER |
| State: | AK |
| Postal Code: | 995778701 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2006 |
| NPI Last Update Date: | 08/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | DP00939153 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |