Provider Demographics
NPI:1821164153
Name:PERLOTTO, CARLA NANETTE
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:NANETTE
Last Name:PERLOTTO
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 1:2320 RICHARD DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-3731
Mailing Address - Country:US
Mailing Address - Phone:702-458-6664
Mailing Address - Fax:
Practice Address - Street 1:2320 RICHARD DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-3731
Practice Address - Country:US
Practice Address - Phone:702-458-6664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor