Provider Demographics
NPI:1982110169
Name:PERLMAN, CANDIS LEIGH (MA, LPC, ATR-BC)
Entity type:Individual
Prefix:
First Name:CANDIS
Middle Name:LEIGH
Last Name:PERLMAN
Suffix:
Gender:F
Credentials:MA, LPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 W LANCASTER AVE STE 113
Mailing Address - Street 2:
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333-1584
Mailing Address - Country:US
Mailing Address - Phone:610-687-8200
Mailing Address - Fax:
Practice Address - Street 1:237 W LANCASTER AVE STE 112
Practice Address - Street 2:
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333-1584
Practice Address - Country:US
Practice Address - Phone:610-687-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-25
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012717101YP2500X
15-153221700000X
PATBD101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist