Individual
PATRICIA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6465 REFLECTIONS DR STE 110, DUBLIN, OH 43017-2353
(614) 792-1132
Mailing address
3657 KNOLLWOOD DR, BEAVERCREEK, OH 45432-2217
(937) 268-6511
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5446
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2386289
—
OH
Enumeration date
06/12/2006
Last updated
06/30/2016
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