ANGELA D PERKINS PSYD

Clinical Neuropsychologist

Cedar Rapids, Iowa

Provider NPI: 1740292523

Provider Information:
 ANGELA D PERKINS PSYD
Gender: F
Not Sole Proprietor

Practice Location:
700 16TH ST NE STE 201  CEDAR RAPIDS, IA 52402 US
Tel: 319-363-3935  Fax: 319-363-3448

Business Mailing Address:
700 16TH STREET NE STE 201 CEDAR RAPIDS, IA 52402 US
Tel: 319-363-3935  Fax: 319-363-3448

Entity Type: Individual

Taxonomy:

Primary	Code	Category/Description	State	License Number
N	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	IA	00995
Y	103T00000X	Behavioral Health & Social Service Providers Psychologist	IA	00995

Other Provider Identifiers:

Issuer	Number	State	Type
	1740292523	IA	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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