| Greg Perri | |
|
3420 Stony Spring Cir Louisville KY 40220-5436 | |
| (502) 387-9945 | |
| Not Available |
| Full Name | Greg Perri |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3420 Stony Spring Cir, Louisville, Kentucky |
| Authorized Official Name and Position | Greg Perri (OWNER) |
| Authorized Official Contact | 5023879945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Perri 3420 Stony Spring Cir Louisville KY 40220-5436 Ph: (502) 387-9945 | Greg Perri 3420 Stony Spring Cir Louisville KY 40220-5436 Ph: (502) 387-9945 |
| NPI Number | 1316550155 |
|---|---|
| Provider Enumeration Date | 08/30/2020 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 8123446572 |
|---|---|
| Medicare Enrollment ID | O20200916002020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316550155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Gregory D Perri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265544415 PECOS PAC ID: 7113026204 Enrollment ID: I20070702000299 |
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