Provider Demographics
NPI:1851142822
Name:PERRY, NATALIE (CASAC-P)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:CASAC-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 WEST STREET
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NY
Mailing Address - Zip Code:13775
Mailing Address - Country:US
Mailing Address - Phone:607-353-2979
Mailing Address - Fax:
Practice Address - Street 1:29 WEST STREET
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NY
Practice Address - Zip Code:13775
Practice Address - Country:US
Practice Address - Phone:607-353-2979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY39304101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)