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Individual

DR. EDWIN DEJ. PERRY JOSEPH III

Active
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Individual

DR. EDWIN DEJ. PERRY JOSEPH III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3714
AK
101YP2500X
Professional Counselor
46.002377
CT
103TC1900X
Counseling Psychologist
Primary
1041C0700X
Clinical Social Worker
004144
CT
1041C0700X
Clinical Social Worker
ISW01491
RI

Other

Enumeration date
09/07/2005
Last updated
03/18/2014
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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