Organization
PSYCHOLOGICAL SERVICES
Active
Other names
Psych Svcs SW Hi
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GRAY PERRA EDD (OWNER PSYCHOLOGIST)
(269) 651-3902
Entity
Organization
Contact information
Practice address
103 S 4TH ST, STURGIS, MI 49091-1819
(269) 651-3902
(269) 659-4874
Mailing address
103 S 4TH ST, STURGIS, MI 49091-1819
(269) 651-3902
(269) 659-4874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
05/23/2007
Last updated
07/02/2008
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