Provider Demographics
NPI:1417172982
Name:PERRY, VERONICA FAYE (BA)
Entity Type:Individual
Prefix:MISS
First Name:VERONICA
Middle Name:FAYE
Last Name:PERRY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 48TH ST E APT 1414
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-5897
Mailing Address - Country:US
Mailing Address - Phone:251-377-8090
Mailing Address - Fax:
Practice Address - Street 1:2201 48TH ST E APT 1414
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35405-5897
Practice Address - Country:US
Practice Address - Phone:251-377-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program