Perillo, Kerry Diane

Perillo, Kerry Diane is an individual health care provider with primary practice located at 230 Frost Rd Apt 1 , Waterbury CT 06705-2154. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Perillo, Kerry Diane can be contacted via phone (203) 819-0789.

Contact Information

Primary practice address
230 Frost Rd Apt 1 Waterbury CT 06705-2154
Fax: (203) 756-2521
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 001366 Connecticut

Profile Details

NPI number 1245392315
LBN Legal business name Perillo, Kerry Diane
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jan 17th, 2020 - about 5 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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