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Individual
ELLIOTTNELL PEREZ
Active
Individual
ELLIOTTNELL PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY13340
FL
103TC0700X
Clinical Psychologist
Primary
0810008991
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
08/27/2026
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