Most Relevant Information
Provider Data
| NPI Number: | 1003028341 |
| Provider Name: | STEPHANIE ANN PEREZ PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 012191 |
Most Important Dates
| Enumeration Date: | 05/06/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
73 PORT WATSON ST
CORTLAND
NY
130453027
Practice Location Phone/Fax
| Phone: | 6077536511 |
| Fax: | 6077531648 |
Provider Mailing Location
73 PORT WATSON ST
CORTLAND
NY
130453027
Provider Mailing Phone/Fax
| Phone: | 6077536511 |
| Fax: | 6077531648 |