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Individual

DR. LOUIS ANTHONY PERROTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3635 MANASSAS DR, ROANOKE, VA 24018-4031
(540) 989-8896
(540) 989-8893
Mailing address
3635 MANASSAS DR, ROANOKE, VA 24018-4031
(540) 989-8896
(540) 989-8893

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000857
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000663
VALUE OPTIONS
VA
01
080252
ANTHEM
VA
01
63781
CIGNA
VA
Enumeration date
05/16/2006
Last updated
09/15/2010
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