Provider Demographics
NPI:1922511336
Name:PERRY, AISLING (CLC)
Entity Type:Individual
Prefix:
First Name:AISLING
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:ASHBURNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01430-1610
Mailing Address - Country:US
Mailing Address - Phone:978-895-2540
Mailing Address - Fax:
Practice Address - Street 1:153 CENTER ST
Practice Address - Street 2:
Practice Address - City:ASHBURNHAM
Practice Address - State:MA
Practice Address - Zip Code:01430-1610
Practice Address - Country:US
Practice Address - Phone:978-895-2540
Practice Address - Fax:978-895-2540
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-07
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232231174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN