Provider Demographics
NPI:1871818849
Name:PERLMAN, JENNIFER MICHELE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MICHELE
Last Name:PERLMAN
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 1:2883 GALENA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3026
Mailing Address - Country:US
Mailing Address - Phone:720-341-1320
Mailing Address - Fax:
Practice Address - Street 1:2135 STOUT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-2830
Practice Address - Country:US
Practice Address - Phone:720-341-1320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-02
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2904103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist