Le'Marus Perez Alston, PHD
Individual provider Active NPI Clinical Psychologist · Rocky Mount, NC
NPI 1114321817 · NPPES record last updated Oct 8, 2023
Key facts
- NPI
- 1114321817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY2200001392 (DC)
- Practice address
- 3400 N Wesleyan Blvd
Rocky Mount, NC 27804-8699 - Phone
- (252) 567-4922
- NPI assigned
- Oct 9, 2014
- Sex
- Male
- 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 |
|---|---|---|---|
| PSY2200001392 | DC | MD | Clinical Psychologist |
| 0810007832 | VA | MD | Clinical Psychologist |
| 4672 | NC | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810007832 | VA | |
| Clinical Psychologist | 103TC0700X | 4672 | NC | |
| Clinical Psychologist | 103TC0700X | PSY2200001392 | DC | Yes |
Addresses
Primary practice location
3400 N Wesleyan Blvd
Rocky Mount, NC 27804-8699
Mailing address
3400 N Wesleyan Blvd
Rocky Mount, NC 27804-8699
Other providers in Rocky Mount, NC
- Almands Drug Store #1
- Almands Drugstore
- Almarch Family Care 1, LLC
- Almarch Open Arms, LLC
- Alpha-Behavioral Community Services, Inc.
- Richard David Alston
- Alternative Care of North Carolina
- Alternative Care of North Carolina
- Wendy Leticia Alvarenga-Aguirre
- Onyekachi Amadi
All providers in Rocky Mount, NC · Clinical Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2023. 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.