Provider Demographics
NPI:1821556697
Name:PERKINS, JOSHUA MICHEAL
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:MICHEAL
Last Name:PERKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 E BUCHTEL AVE APT 3A
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1950
Mailing Address - Country:US
Mailing Address - Phone:330-937-1478
Mailing Address - Fax:
Practice Address - Street 1:508 E BUCHTEL AVE APT 3A
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1950
Practice Address - Country:US
Practice Address - Phone:330-937-1478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Single Specialty