Individual
DR. ROBERT GRAY PERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
103 S 4TH ST, STURGIS, MI 49091-1819
(269) 651-3902
(269) 659-4874
Mailing address
11081 GREER DR, RICHLAND, MI 49083-9388
(269) 731-4662
(269) 659-4874
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301004082
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014850
CHAMPUS VA
MI
05
—
61-41803
—
MI
01
—
M018978
TRICARE
MI
Enumeration date
01/23/2007
Last updated
07/08/2007
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