Organization
JANE E. PERRIN, PH.D.
Active
Other names
Psychological Services of the Triad
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE E PERRIN PH.D. (OWNER)
(336) 299-1115
Entity
Organization
Contact information
Practice address
3608 W FRIENDLY AVE, SUITE #208, GREENSBORO, NC 27410-4865
(336) 299-1115
(336) 299-5559
Mailing address
3608 W FRIENDLY AVE, SUITE #208, GREENSBORO, NC 27410-4865
(336) 299-1115
(336) 299-5559
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1102
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04388
BLUE CROSS BLUE SHIELD
NC
Enumeration date
04/26/2007
Last updated
08/22/2020
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