Lilli Ann Perez, PH.D.
Individual provider Active NPI Marriage & Family Therapist · Dededo, GU
NPI 1033327804 · NPPES record last updated Jan 24, 2020
Key facts
- NPI
- 1033327804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- IMF-049 (GU)
- Practice address
- Blue Ocean Medical Group (Dba: International Health Pro
655 Harmon Loop Road, Suite 108
Dededo, GU 96929 - Phone
- (671) 477-5715
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-801 | CA | MD | Psychoanalyst |
| IMF-049 | GU | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | S-801 | CA | |
| Marriage & Family Therapist | 106H00000X | IMF-049 | GU | Yes |
Addresses
Primary practice location
Blue Ocean Medical Group (Dba: International Health Pro
655 Harmon Loop Road, Suite 108
Dededo, GU 96929
Mailing address
Lilli Ann Perez, PHD (Dba: Family Pacific, Inc.)
PO Box 795
Hagatna, GU 96932
Phone (671) 637-5131
Other names
- Lilli Perez Iyechad
Other providers in Dededo, GU
- Paraoceana Behavioral Health Services
- Zane Park
- Pathway Practice Solutions LLC
- Payless Markets Inc
- Kristine Nae Uy Pedrajas
- Virgilio Garcia Petero Jr
- Procare-B, LLC
- Doris Marquez Querimit
- Ran-Care, Inc.
- Christina M. Rapadas
All providers in Dededo, GU · Marriage & Family Therapist in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.