Provider Demographics
NPI:1235583840
Name:PERRY, ARAM JR
Entity Type:Individual
Prefix:
First Name:ARAM
Middle Name:
Last Name:PERRY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 ANCHOVIE CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4706
Mailing Address - Country:US
Mailing Address - Phone:863-666-7436
Mailing Address - Fax:
Practice Address - Street 1:348 ANCHOVIE CT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-4706
Practice Address - Country:US
Practice Address - Phone:863-666-7436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor