Perry, Jonathan Dalton

Perry, Jonathan Dalton is an sole proprietor health care provider with primary practice located at 81 Highland Ave , Salem MA 01970-2714. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Perry, Jonathan Dalton can be contacted via phone (978) 745-9003.

Contact Information

Primary practice address
81 Highland Ave Salem MA 01970-2714
Phone: (978) 745-9003
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5029 Massachusetts

Profile Details

NPI number 1972546414
LBN Legal business name Perry, Jonathan Dalton
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Apr 15th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972546414 NPPES
Massachusetts MEDICAID 0522708

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