Provider Demographics
NPI:1538987946
Name:PEERY, ROSS T (MS, APC)
Entity type:Individual
Prefix:
First Name:ROSS
Middle Name:T
Last Name:PEERY
Suffix:
Gender:M
Credentials:MS, APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 CAMDEN CT
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-2218
Mailing Address - Country:US
Mailing Address - Phone:740-336-8382
Mailing Address - Fax:
Practice Address - Street 1:1208 CAMDEN CT
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-2218
Practice Address - Country:US
Practice Address - Phone:740-336-8382
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC009691101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health