| Doctor Name: | ANDRE PERI |
| NPI Number: | 1982988259 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD. |
| License Number: | PSY1000841 |
| Business Practice Address: | 35401 Mission Dr. St. Ignatius, MT - 59865 |
| Business Phone Number: | 4067453525 |
| Business Fax Number: | 4067453529 |
| Mailing Address: | 35401 Mission Dr., ST. IGNATIUS |
| State: | MT |
| Postal Code: | 59865 |
| Phone Number: | 4067453525 |
| Fax Number: | 4067453529 |
| NPI Enumeration Date: | 10/05/2011 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY1000841 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |