Provider Demographics
NPI:1992984017
Name:PERLMAN, GERALD S (PHD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:S
Last Name:PERLMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 TULSA RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-3207
Mailing Address - Country:US
Mailing Address - Phone:865-481-8250
Mailing Address - Fax:865-690-4045
Practice Address - Street 1:100 TULSA RD
Practice Address - Street 2:SUITE 6
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-3207
Practice Address - Country:US
Practice Address - Phone:865-481-8250
Practice Address - Fax:865-690-4045
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP239103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical