Provider Demographics
NPI:1669844874
Name:PEREZ, ANA ESTHER (PHD, LMFT, MA, RN)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:ESTHER
Last Name:PEREZ
Suffix:
Gender:F
Credentials:PHD, LMFT, MA, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 WINNEMISSETT OAKS DR
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-4862
Mailing Address - Country:US
Mailing Address - Phone:386-451-9893
Mailing Address - Fax:
Practice Address - Street 1:2607 WINNEMISSETT OAKS DR
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-4862
Practice Address - Country:US
Practice Address - Phone:386-451-9893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TH0004X, 103T00000X
FL3329532163W00000X, 163WD0400X
FL5889106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No163W00000XNursing Service ProvidersRegistered Nurse
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator