Provider Demographics
NPI:1780990275
Name:PERRY, DIANA LAUREN (MSED, PSYD, LPC)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:LAUREN
Last Name:PERRY
Suffix:
Gender:
Credentials:MSED, PSYD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 COLD SPRING RD STE 315
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3163
Mailing Address - Country:US
Mailing Address - Phone:860-301-6880
Mailing Address - Fax:
Practice Address - Street 1:35 COLD SPRING RD STE 315
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-3163
Practice Address - Country:US
Practice Address - Phone:860-301-6880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4081101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional