Provider Demographics
NPI:1376986166
Name:PEREZ, KARI R (PHD)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:R
Last Name:PEREZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20901 SCHOFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-3979
Mailing Address - Country:US
Mailing Address - Phone:402-957-1364
Mailing Address - Fax:
Practice Address - Street 1:11909 ARBOR ST STE E
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4418
Practice Address - Country:US
Practice Address - Phone:402-957-1364
Practice Address - Fax:402-625-0853
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-10
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE658103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical