Individual
DR. JONATHAN DALTON PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 745-9003
Mailing address
1 DOVE AVE, SALEM, MA 01970-2944
(978) 745-9003
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5029
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0522708
—
MA
Enumeration date
06/13/2006
Last updated
04/15/2017
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