Provider Demographics
NPI:1942867577
Name:PEREZ, EVELYN (LP)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26010 OAK RIDGE DR STE 107
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1972
Mailing Address - Country:US
Mailing Address - Phone:281-815-0899
Mailing Address - Fax:281-528-1107
Practice Address - Street 1:26010 OAK RIDGE DR STE 107
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1972
Practice Address - Country:US
Practice Address - Phone:281-815-0899
Practice Address - Fax:281-528-1107
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37832103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool