Provider Demographics
NPI:1023037405
Name:PERKINS, DAN G (PHD)
Entity type:Individual
Prefix:DR
First Name:DAN
Middle Name:G
Last Name:PERKINS
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 1:523 W HUNT ST
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3857
Mailing Address - Country:US
Mailing Address - Phone:972-562-9140
Mailing Address - Fax:800-819-1655
Practice Address - Street 1:8059 SCYENE CIR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-5534
Practice Address - Country:US
Practice Address - Phone:800-257-8715
Practice Address - Fax:800-819-1655
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-0996103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86875AOtherBLUE CROSS BLUE SHIELD
TXP00207001OtherRAIL ROAD
TX8B3183Medicare ID - Type UnspecifiedMEDICARE
TX8B3184Medicare ID - Type UnspecifiedMEDICARE