Individual
DR. ROGER W PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
546 E 17TH ST, INDIANAPOLIS, IN 46202-1702
(317) 536-1225
Mailing address
9959 PARKWAY DR, FISHERS, IN 46037-9332
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040411A
IN
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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