Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWIN DEJ. PERRY JOSEPH III, PH.D.
Active Sole ProprietorDR. EDWIN DEJ. PERRY JOSEPH III, PH.D. is a Counseling Psychologist healthcare provider located in MYSTIC, Connecticut. NPI 1457345266 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · MYSTIC, CT
Registration Details
- NPI Number
- 1457345266
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2005 (20.909533148654 yrs)
- Last Updated
- Mar 18, 2014
- Licenses
-
004144 (CT)ISW01491 (RI)3714 (AK)46.002377 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
44 WASHINGTON STMYSTIC, CT, 063552839Browse CT providers · Browse ZIP 06355
- Phone
- 8604156837
- Primary Specialty
-
Counseling Psychologist
103TC1900X
- Additional Specialty
- Counseling Psychologist
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.