Individual
GEORGE MICHAEL PEROVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
1251 S CEDAR CREST BLVD, SUITE 302A, ALLENTOWN, PA 18103-6205
(610) 437-1431
(610) 437-9150
Mailing address
1251 S CEDAR CREST BLVD, SUITE 302A, ALLENTOWN, PA 18103-6205
(610) 437-1431
(610) 437-9150
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS0034647-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041439000
IBC PERSONAL CHOICE
PA
01
—
02690300
CAPITAL BLUE CROSS
PA
01
—
402654
HIGHMARK
PA
Enumeration date
07/03/2006
Last updated
07/08/2007
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