Provider Demographics
NPI:1326780420
Name:PERKINS, CEYANNE S
Entity Type:Individual
Prefix:MS
First Name:CEYANNE
Middle Name:S
Last Name:PERKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 WASHINGTON ST APT 11F
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-2308
Mailing Address - Country:US
Mailing Address - Phone:845-717-0354
Mailing Address - Fax:
Practice Address - Street 1:66 WASHINGTON ST APT 11F
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-2308
Practice Address - Country:US
Practice Address - Phone:845-717-0354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-09
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician