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Individual

DR. JONATHAN GEORGE PERLE

Active
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Individual

DR. JONATHAN GEORGE PERLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
OOOO
NE
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071.009471
IL
103TC2200X
Clinical Child & Adolescent Psychologist
7201
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
Enumeration date
07/23/2012
Last updated
04/18/2022
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