Active NPIIndividual providerSole proprietor

Colleen M Peruo, CP

Psychologist in Clifton, New Jersey

NPI Number1275696320
Practice location
1314 Broad St, Clifton, NJ 07013-4220
Fax
973-779-4555
Last updated
February 24, 2021

Colleen M Peruo is a Psychologist based in Clifton, NJ. Colleen M Peruo practices in Clifton, NJ and has the professional credentials of CP. The NPI Number for Colleen M Peruo is 1275696320 and holds a License No. SI3181 (NJ). The current practice location address for Colleen M Peruo is 1314 Broad St, Clifton, NJ 07013-4220 and can be reached out via phone at 973-779-1107 and via fax at 973-779-4555.

Provider Profile Details

NPI Number
1275696320
Provider Name
Colleen M Peruo
Credential
CP
Provider Entity Type
Individual
Gender
Female
Address
1314 Broad St, Clifton, NJ 07013-4220
Phone Number
973-779-1107
Fax Number
973-779-4555
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 19, 2006
Last Update Date
February 24, 2021
Certification Date
February 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1314 Broad St
Clifton, NJ 07013-4220
Zip
07013-4220
Phone Number
973-779-1107
Fax Number
973-779-4555
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
1314 Broad St
Clifton, NJ 07013-4220
City
Clifton
State
NJ
Zip
07013-4220
Phone Number
973-779-1107
Fax Number
973-779-4555

License Information

License Number
SI3181
License State
NJ
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Colleen M Peruo, CP?

The NPI number of Colleen M Peruo, CP is 1275696320. It was assigned on December 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Colleen M Peruo, CP?

Colleen M Peruo, CP is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number SI3181.

Where does Colleen M Peruo, CP practice?

The practice location is 1314 Broad St, Clifton, NJ 07013-4220. The office can be reached at 973-779-1107 (phone) or 973-779-4555 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275696320 directly on the NPPES registry website.

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