Millicent M Perkins

NPI #1013473768 in Portage, Michigan

Provider Information

NPI Number: 1013473768
Entity Type: Organization
Organization Name: Millicent M Perkins
Primary Specialty: Psychologist - Clinical
Enumeration Date: Feb 19, 2019
Last Updated: Feb 19, 2019

Practice Location

Address: 5930 LOVERS LN
City: Portage
State: Michigan
ZIP Code: 49002-1673
Phone: (269) 344-9490

Authorized Official

Name: MILLICENT M PERKINS, PSYD
Title: OWNER
Phone: (269) 344-9490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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