Provider Demographics
NPI:1235359613
Name:PERROTT, LENORE CATHERINE (MS)
Entity Type:Individual
Prefix:MS
First Name:LENORE
Middle Name:CATHERINE
Last Name:PERROTT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 STRAFFORD AVENUE
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-3340
Mailing Address - Country:US
Mailing Address - Phone:610-975-4434
Mailing Address - Fax:
Practice Address - Street 1:175 STRAFFORD AVE
Practice Address - Street 2:SUITE ONE
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-3317
Practice Address - Country:US
Practice Address - Phone:610-975-4434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007368L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist