Provider Demographics
NPI:1184033375
Name:ANNE PERRY & ASSOCIATES
Entity Type:Organization
Organization Name:ANNE PERRY & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:650-315-3951
Mailing Address - Street 1:1660 S AMPHLETT BLVD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2520
Mailing Address - Country:US
Mailing Address - Phone:650-315-3951
Mailing Address - Fax:
Practice Address - Street 1:1660 S AMPHLETT BLVD
Practice Address - Street 2:SUITE 308
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2520
Practice Address - Country:US
Practice Address - Phone:650-315-3951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24245103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1427343714OtherNPI