Provider Demographics
NPI:1629829585
Name:PERRIER, RENEE ANDREA
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:ANDREA
Last Name:PERRIER
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 1:1655 PRIMROSE RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1117
Mailing Address - Country:US
Mailing Address - Phone:202-579-6169
Mailing Address - Fax:
Practice Address - Street 1:1655 PRIMROSE RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1117
Practice Address - Country:US
Practice Address - Phone:202-579-6169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040080011041C0700X
DCLC30008681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty