Provider Demographics
NPI:1033526017
Name:PERRY, JUDITH MCKAY (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:MCKAY
Last Name:PERRY
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1530 DUNWOODY VILLAGE PKWY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4100
Mailing Address - Country:US
Mailing Address - Phone:770-305-0990
Mailing Address - Fax:770-395-6511
Practice Address - Street 1:1530 DUNWOODY VILLAGE PKWY
Practice Address - Street 2:SUITE 207
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-4100
Practice Address - Country:US
Practice Address - Phone:770-305-0990
Practice Address - Fax:770-395-6511
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GALPC002464101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional