Perry, Tina Dyane

Perry, Tina Dyane is an individual health care provider with primary practice located at 13333 Palmdale Road , Victorville CA 92392-2535. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Perry, Tina Dyane can be contacted via phone (760) 241-4917.

Contact Information

Primary practice address
13333 Palmdale Road Victorville CA 92392-2535
Phone: (760) 241-4917
Fax: (760) 241-8911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1598960049
LBN Legal business name Perry, Tina Dyane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Mar 7th, 2011 - about 14 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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