Perera, Diogenes Leslie

Perera, Diogenes Leslie is an individual health care provider with primary practice located at 8801 N University St , Peoria IL 61615-1635. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Perera, Diogenes Leslie can be contacted via phone (309) 676-0538.

Contact Information

Primary practice address
8801 N University St Peoria IL 61615-1635
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Illinois

Profile Details

NPI number 1487431342
LBN Legal business name Perera, Diogenes Leslie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2023
Last updated Sep 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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