Provider Demographics
NPI:1770020398
Name:PERRY, MARGARET (PSYD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 POST ST STE 500
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4908
Mailing Address - Country:US
Mailing Address - Phone:313-706-8078
Mailing Address - Fax:
Practice Address - Street 1:360 POST ST STE 500
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4908
Practice Address - Country:US
Practice Address - Phone:313-706-8078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-20
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.009382103TC0700X
MD05381103TC0700X
CAPSY27473103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical