Provider Demographics
NPI:1912499815
Name:PEREZ, LEAH (BS)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:PEREZ-LOPES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS
Mailing Address - Street 1:227 CHELMSFORD ST STE C
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2305
Mailing Address - Country:US
Mailing Address - Phone:617-735-7723
Mailing Address - Fax:
Practice Address - Street 1:227 CHELMSFORD ST STE C
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2305
Practice Address - Country:US
Practice Address - Phone:617-735-7723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor