Individual
DR. SHELLEY PEERY
Active
Individual
DR. SHELLEY PEERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
016257
NY
103G00000X
Clinical Neuropsychologist
Primary
21904
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016257
PSYCHOLOGY LICENSE
NY
01
—
21904
PSYCHOLOGY LICENSE
CA
Enumeration date
03/28/2007
Last updated
08/03/2010
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