Provider Demographics
NPI:1255694485
Name:PERISH, MARGARET M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:PERISH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:PERISH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:211 ROCKBROOK DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-4211
Mailing Address - Country:US
Mailing Address - Phone:972-832-1192
Mailing Address - Fax:
Practice Address - Street 1:7557 RAMBLER RD
Practice Address - Street 2:SUITE 700
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4142
Practice Address - Country:US
Practice Address - Phone:972-832-1192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36230103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical