Provider Demographics
NPI:1891747044
Name:KALY, PERRY W (PHD)
Entity Type:Individual
Prefix:DR
First Name:PERRY
Middle Name:W
Last Name:KALY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10910 SHELDON RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-4701
Mailing Address - Country:US
Mailing Address - Phone:813-796-8029
Mailing Address - Fax:813-891-1311
Practice Address - Street 1:10910 SHELDON RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-4701
Practice Address - Country:US
Practice Address - Phone:813-796-8029
Practice Address - Fax:813-891-1311
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6377103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54416OtherBLUE CROSS BLUE SHIELD
FL54416OtherBLUE CROSS BLUE SHIELD