Provider Demographics
NPI:1386869683
Name:PERLMAN, ASNAH (MED, LCPC, NCC)
Entity type:Individual
Prefix:PROF
First Name:ASNAH
Middle Name:
Last Name:PERLMAN
Suffix:
Gender:F
Credentials:MED, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9801 CLANFORD RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-2507
Mailing Address - Country:US
Mailing Address - Phone:410-655-7527
Mailing Address - Fax:
Practice Address - Street 1:9801 CLANFORD RD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-2507
Practice Address - Country:US
Practice Address - Phone:410-655-7527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCO358101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional