Individual
ASHLEY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-7100
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
TPS030602
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/11/2018
Last updated
02/22/2021
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