Provider Demographics
NPI:1750742854
Name:PEREZ, JANELY (PSYD)
Entity type:Individual
Prefix:DR
First Name:JANELY
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:JANELY
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15101 GARVOCK PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1422
Mailing Address - Country:US
Mailing Address - Phone:305-331-0101
Mailing Address - Fax:
Practice Address - Street 1:15101 GARVOCK PL
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1422
Practice Address - Country:US
Practice Address - Phone:305-331-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist