Provider Demographics
NPI:1548681232
Name:PEREZ, LUMARIS (BA PSYCHOLOGY)
Entity type:Individual
Prefix:MS
First Name:LUMARIS
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:BA PSYCHOLOGY
Other - Prefix:MS
Other - First Name:LUMARIS
Other - Middle Name:
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BA PSYCHOLOGY
Mailing Address - Street 1:9 PIERPONT ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-5619
Mailing Address - Country:US
Mailing Address - Phone:978-304-3752
Mailing Address - Fax:
Practice Address - Street 1:9 PIERPONT ST
Practice Address - Street 2:
Practice Address - City:PEBODY
Practice Address - State:MA
Practice Address - Zip Code:01960
Practice Address - Country:US
Practice Address - Phone:978-304-3752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health