Individual
MS. JAMILA O PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPA
Contact information
Practice address
729 BENCHMARK DR, RALEIGH, NC 27615-6330
(252) 626-4889
Mailing address
729 BENCHMARK DR, RALEIGH, NC 27615-6330
(252) 626-4889
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2485
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107464
—
NC
Enumeration date
07/07/2006
Last updated
07/09/2012
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